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Technologies
ნეიტრალური ანოლიტი
გაუსნებოვნება
მკურნალობა
meToduri miTiTebani gankuTvnilia samkurnalo-profilaqtikur dawesebulebaTa personalisTvis, sanitariul-epidemiologiuri da sadezinfeqcio samsaxuris TanamSromlebisTvis da agreTve im sxva dawesebulebebisTvis, romelTac gaaCniaT sadezinfeqcio saqmianobis ufleba.

1. zogadi monacemebi

1.1 neitraluri anoliti (SemdgomSi-anoliti), gamomuSavebuli natriumis qloridis wyalxsnaris eleqtroqimiuri damuSavebis meTodiT warmoadgens ufero, qloris sunis mqone siTxes, romelic Seicavs qloris maRalaqtiur Jangbadovan SenaerTebs da sxva.

daniSnulebis mixedviT miiReba da gamoiyeneba anoliti aqtiuri qloris SemcvelobiT 0.01% - 0.05% da pH-is mniSvnelobiT 7,2-8.2 erTeuli.

anoliti gamoiyeneba ganzavebis gareSe, erTjeradad. anolitis gamoyenebis vada Seadgens 5-10 dRe-Rames im pirobiT, Tu is inaxeba daxurul minis, plastmasis an emalirebul WurWelSi (zedapiris dazianebis gareSe) oTaxis temperaturaze, mzis pirdapiri sxivebisgan dacul adgilze.

1.2 anolits gaaCnia antimikrobuli (viruliciduri, baqtericiduli, fugiciduri, tuberkuloziciduri, sporociduri) da recxviTi Tvisebebi.

organul dabinZurebaTa (sisxli, fekaliebi da sxva) TandaswrebiT anolitis madezinficirebeli Tvisebebi qveiTdeba.

1.3 organizmze zemoqmedebis xarisxiT anoliti ГОСТ 12.1.007-76iT ganekuTvneba naklebadsaSiS nivTierebaTa 4 klass. kuWSi moxvedrisas an kanze datanisas, naklebad toqsikuria parenteralur SeRwevisas, ar axdens adgilobriv gamaRizianebel moqmedebas kanze da Tvalebis lorwovan garsze. anoliti aqtiuri qloris koncentraciiT 0,05% aorTqlebisas naklebad iwvevs zeda sasunTqi gzebis da Tvalis lorwovani garsis gaRizianebas, kanze mravaljer moxvedrisas SesaZlebelia gamoiwvios kanis simSrale. qloris naklebi 00,1%; 00,2%; 00,3% koncentraciis mqone anoliti ki ar iwvevs gaRizianebas.

1.4 anoliti gamoiyeneba sxvadsava saxis obieqtebis sadezinfiqciod baqteriuli, virusuli da sokovani infeqciebis etiologiis dros.

2. anolitis gamoyeneba sadezinfeqciod

2.1 anoliti gamoiyeneba sxvadasxva obieqtebis sadezinfiqciod (zedapirebi SenobebSi, avadmyofis movlisaTvis saWiro sagnebi, WurWeli, TeTreuli, saTamaSoebi, sanitariul-teqnikuri mowyobilobebi), baqteriuli (tuberkuliozis CaTvliT), virusuli (Sidsisa da parenteraluri gavrcelebis meqanizmis mqone hepatitis CaTvliT) da sokovani (kandidozisa da dermatofitis CaTvliT) infeqciuri etiologiis dros; agreTve samedicino daniSnulebis mqone sagnebis (SuSis, plastmasis, rezinis, metalis, (titanis Senadnobebi) sterilizaciis wina gawmendisaTvis da sterilizaciisaTvis.

2.2 anolitiT dezinfeqcia xorcieldeba gawmendiT (zedapirebi SenobebSi, sanitarul-teqnikuri danadgarebi) da CayursviT (samedicino daniSnulebis mqone nawarmi, avadmyofis mosavlelad saWiro sagnebi, WurWeli, TeTreuli, saTamaSoebi, dasalagebeli masala).

2.3 zedapirebi SenobaSi (iataki, kedlebi, aveji) sanitarul-teqnikur danadgarebs wmenden erTxel an orjer 15 wuTiani intervaliT anolitiT uxvad dasvelebul tiloTi. dasamuSavebeli zedapiri Tanabrad unda dasveldes. anolitis xarjvis norma erTjeradi damuSavebisTvis 200 ml.1kv.m, xolo orjeradi damuSavebisTvis 300-400 ml dasamuSavebel zedapirze.

Zalian dabinZurebul sanitarul-teqnikur danadgarebs winaswar guldasmiT asufTaveben anolitSi dasvelebuli jagrisiT.

2.4 samedicino daniSnulebis mqone nawarmis dezinfeqcias, maT Soris winasasterilizacio gawmendasTan SeTavsebuls, atareben plastmasis an dauzianebel mominanqrebul Tavdaxurul WurWelSi. dezinfeqciis reJimebi moyvanilia cxrili 1; cxrili 2. nawarms mTlianad Cayursaven anolitSi. specialuri xelsawyoebiT (Sprici, pipeti) anolitiT avseben nakeTobis arxebs da Rruebs, ise rom gamoidevnos haeris buStebi. dasaSlel mowyobilobebs amuSaveben daSlil mdgomareobaSi. Casaket instrumentebs (makratlebs, korncangebs) Cayursaven anolitSi gaxsnil mdgomareobaSi da Cayursvis Semdeg ramodenime muSa moZraobas asruleben anolitis CamketSi SesaRwevad.

sadezinfeqcio drois amowurvis Semdeg iaraRebs erTi wuTis ganmavlobaSi recxaven gamdinare sasmel wyalSi an aCereben erTi wuTi wylian avzSi, ise rom wyalma yvela Rari da arxi gamorecxos.

2.5 avadmyofis mosavlelad saWiro sagnebs mTlianad Cayursaven anolitSi da sadezinfeqcio drois amowurvis Semdeg recxaven gamdinare wyliT qloris sunis gaqrobamde.

2.6 WurWels aTavisufleben sakvebis narCenebisgan da mTlianad Cayursaven anolitSi. anolitis xarjvis normaa-2l 1 kompleqtisTvis (ori TefSi, 1 finjani an Wiqa). Ddezinfeqciis Semdeg WurWels recxaven gamdinare sasmeli wyliT. 1 wuTis ganmavlobaSi TiTo sagans, an aCereben wylian avzSi mTlianad Cayursuls 1 wuTi.

2.7 liTonis WurWeli anolitiT dezinfeqcias ar eqvemdebareba.

2.8 TeTreuls mTlianad Cayursaven anolitSi. anolitis xarjvis norma 5l 1kg mSrali TeTreulisTvis. Ddezinfeqciis Semdeg TeTreuls recxaven da avleben wyalSi.

2.9 saTamaSoebs mTlianad Cayursaven anolitSi da dezinfeqciis Semdeg recxaven gamdinare wyliT qloris sunis gaqrobamde.

2.10 dasalagebel masalas (tiloebs) mTlianad Cayursaven anolitSi, sadezinfeqcio drois amowurvisas avleben wyalSi da aSroben.

3. anolitis gamoyeneba samedicino daniSnulebis nawarmis winasasterilizacio gawmendisTvis dezinfeqciis gareSe

3.1 anoliti gamoiyeneba samedicino daniSnulebis nawarmis winasasterilizacio gawmendisTvis dezinfeqciis gareSe cxril 3-Si moyvanili reJimebis Tanaxmad 2.4 punqtiT gaTvaliswinebul gamosayenebeli WurWlisa da anolitSi Cayursvis wesebis analogiurad.

3.2 samedicino naWarmis winasasterilizacio gawmendis xarisxis kontroli xorcieldeba amidopirinis an azopiramuli sinjebiT, romelSis drosac mowmdeba narCeni sisxlis raodenoba Tanaxmad meTodikisa, romelic moyvanilia “samedicino daniSnulebis nakeTobaTa winasasterilizacio gawmendis meTodur miTiTebaSi (#28-6/13, 08.06.82w) da meTodur miTiTebaSi “samedicino daniSnulebis nakeTobaTa winasasterilizacio gawmendis kontroli reaqtiv azopiramis daxmarebiT” (#28-6/13 25.05.88w).

kontrols eqvemdebareba erTdroulad damuSavebuli erTi dasaxelebis nakeTobaTa 1%, magram ara nakleb 3 calisa.

4. anolitis gamoyeneba samedicino daniSnulebis sagnebis sterilizaciisTvis.

4.1 samedicino daniSnulebis sagnebis anolitiT sterilizacia tardeba cxril 4-Si moyvanili reJimebiT, analogiurad punkt 2.4-Si mocemuli gamosayenebeli WurWlisa da sagnebis anolitSi Cayursvis wesebis analogiurad.

4.2 sterilizaciis Catarebisas (sagnebis xsnaris narCenebisgan garecxvis etapis CaTvliT) yvela manipulacias asruleben aseptikis wesebis dacviT. sterilizaciisTvis iyeneben anolitis sterilur WurWels.

4.3 sasterilizacio drois amowurvis Semdeg sagnebs anolitidan iReben steriluri pincetiT (korncangiT) acileben anolits arxebidan da Rarebidan da gadaaqvT sterilur WurWelSi steriluri sasmeli wyliT anolitis narCenebis mosarecxad. garecxva xdeba 1 wuTis ganmavlobaSi, nawarmis mTliani CayursviT wyalSi, arxebis da Rruebis wyliT gavsebiT.

4.4 anolitis narCenebisgan ganTavisuflebul sagnebs iReben wylidan, aTavseben sterilur zewarze, steriluri SpriciT an sxva xelsawyoTi acileben arxebSi CarCenil wyals da gadaaqvT steriluri zewriT amogebul sterilur sasterilizacio kolofSi.

gasterilebuli sagnebis Senaxvis vada sam dRe-Rames ar aRemateba.

4.5 sterilizaciisTvis da garecxvisTvis gamoyenebul WurWels da wyals winaswar asterileben orTqlis meTodiT 132 graduss C temperaturaze 20 wuTis ganmavlobaSi.

5. usafrTxoebis zomebi.

5.1 anolitTan samuSaod ar daiSvebian qlorze Warbi mgrZnobiarobis mqone pirebi.

5.2 yvela samuSao anolitTan tardeba rezinis xelTaTmanebiT xelebze kanis dacvis mizniT.

5.3 obieqtebis damuSaveba savaldebuloa Catardes pacientebis ar yofnis dros.

5.4 yvela anolitiani WurWeli unda ixurebodes TavsaxuriT.

5.5 anoliti unda inaxebodes samkurnalo preparatebisgan calke, bnel, gril da bavSvebisTvis miuwvdomel adgilze.

6. pirveladi daxmarebis zomebi.

6.1 anolitis moxvedrisas TvalebSi saWiroa maTi gamobana gamdinare wyliT ramodenime wuTis ganmavlobaSi. lorwovani garsis gaRizianebisas saWiroa TvalebSi CaiwveToT natriumis sulfacilis 30 %-iani xsnari.

6.2 anolitis moxvedrisas kanze saWiroa misi Camorecxva wyliT.

6.3 anolitis moxvedrisas kuWSi saWiroa dalioT ramodenime Wiqa wyali, 10-20c aqtivirebuli naxSiris dafxvnili tabletebiT. saWiroebis SemTxvevaSi mimarTeT eqims.

6.4 sasunTqi organoebis gaRizianebis dros dazaralebuli gayavT samuSao Senobidan sufTa haerze an kargad ganiavebul oTaxSi, piris da cxviris RruSi avleben wyals, aZleven Tbil sasmels-rZes an borjoms.

gamoyenebuli literatura: 

ruseTis federaciis jandacvis saministros dezinfeqtologiis samecniero-kvleviTi institutis mier damuSavebuli meToduri miTiTebani.


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