Ma ke ʻano he aldehyde aliphatic dibasic kaulahao saturated, ʻo ka glutaraldehyde kahi wai aniani ʻole me ka ʻala hoʻonāukiuki a me ka hopena pepehi maikaʻi loa i nā bacteria hānau, nā virus, mycobacteria, ka ʻōpala pathogenic a me nā bacteria bacteria, a me ka bactericide ākea ākea ʻole. He disinfectant maikaʻi loa ʻo Glutaraldehyde e pepehi ana i nā ʻano microorganism like ʻole a ua ʻōlelo ʻia e ka World Health Organization ma ke ʻano he disinfectant no nā mea haumia o ka maʻi hepatitis.
Glutaraldehyde 25%He hopena hoʻoulu a hoʻōla hoʻi i ka ʻili kanaka a me nā membrane mucous a hiki ke hoʻoulu i nā maʻi allergies, no laila ʻaʻole pono e hoʻohana ʻia no ka disinfection o ka ea a me nā meaʻai. Eia kekahi, ʻaʻole pono e hoʻohana ʻia ka glutaraldehyde no ka disinfection a me ka sterilization o nā lako lapaʻau tubular, nā nila injection, nā sutures ʻokiʻoki a me nā kaula pulupulu.
Hoʻohana pinepine ʻia ʻo Glutaraldehyde ma ke ʻano he disinfectant i ka ʻoihana lapaʻau a he mau nīnau paha nā mea hoʻohana e pili ana i nā pilikia loea, no laila hāʻawi ʻo Springchem i nā manaʻo nui e pili ana i ka glutaraldehyde no kāu kuhikuhi.
Aka hoʻohana ʻana o ka glutaraldehyde
Hoʻohana ʻia ʻo Glutaraldehyde ma ke ʻano he sterilant anu e hoʻomaʻemaʻe i nā mea hana wela, e like me nā endoscopes a me nā lako dialysis. Hoʻohana ʻia ia ma ke ʻano he disinfectant kiʻekiʻe no kēlā mau mea hana ʻoki ʻoki ʻaʻole hiki ke hoʻomaʻemaʻe ʻia i ka wela.
Hoʻohana ʻia ʻo Glutaraldehyde no kekahi mau noi i nā hale mālama ola:
● He mea hoʻopaʻa i nā ʻiʻo i loko o nā keʻena hoʻokolohua pathology
● Mea hoʻomaʻemaʻe a me ka sterilization o nā ʻili a me nā lako
● He mea hoʻopaʻakikī i hoʻohana ʻia no ka hoʻomohala ʻana i nā kukuna X
● No ka hoʻomākaukau ʻana i nā grafts
Pau ʻanaka lā o ka glutaraldehyde a pehea e hoʻoholo ai i ka pau ʻana
Ma ka mahana o ka lumi a ma lalo o ke kūlana o ka mamao mai ka mālamalama a me ka waiho ʻana i hoʻopaʻa ʻia, ʻaʻole e emi ka lā palena pau o ka glutaraldehyde ma mua o 2 mau makahiki, a ʻo ka nui o ka mea hana o ka glutaraldehyde ma ka liʻiliʻi he 2.0% i loko o ka lā palena pau.
Ma ka mahana o ka lumi, ma hope o ka hoʻohui ʻana i ka mea hoʻopaʻa rust a me ka mea hoʻoponopono pH, hoʻohana ʻia ka glutaraldehyde no ka disinfection hoʻokomo ʻana i nā mea lapaʻau a i ʻole ka sterilization, a hiki ke hoʻohana ʻia no 14 mau lā mau. Pono ka nui o ka glutaraldehyde ma ka liʻiliʻi he 1.8% i ka wā e hoʻohana ai.
Hoʻoluʻu ʻanadmaʻi ʻaʻaiʻano haname ka glutaraldehyde
E hoʻomohu i nā mea hana i hoʻomaʻemaʻe ʻia i loko o ka hopena disinfection glutaraldehyde 2.0%~2.5% e hoʻoluʻu loa iā lākou, a laila e uhi i ka pahu disinfection ma ka mahana o ka lumi no 60 min, a holoi me ka wai sterile ma mua o ka hoʻohana ʻana.
Hoʻokomo ʻia nā mea hana hōʻailona a me nā mea lapaʻau i hoʻomaʻemaʻe ʻia a maloʻo ʻia, nā mea hana a me nā mea i loko o ka hopena 2% alkaline glutaraldehyde i hoʻoluʻu piha ʻia, a pono e wehe ʻia nā pehu ea ma luna o ka ʻili o nā mea hana me ka uhi ʻana i ka ipu i ka mahana o 20 ~ 25 ℃. Hana ka disinfection a hiki i ka manawa i kuhikuhi ʻia o nā kuhikuhi huahana.
Nā koi no ka disinfection o nā endoscopes me ka glutaraldehyde
1. Nā palena hoʻomaʻemaʻe a me ka sterilization kiʻekiʻe
● Ka nui: ≥2% (alkaline)
● Manawa: manawa hoʻoluʻu hoʻomaʻemaʻe bronchoscopy ≥ 20min; disinfection endoscopes ʻē aʻe ≥ 10min; hoʻoluʻu endoscopic no nā maʻi me ka mycobacterium tuberculosis, nā mycobacteria ʻē aʻe a me nā maʻi kūikawā ʻē aʻe ≥ 45min; sterilization ≥ 10h
2. E hoʻohana i ke ʻano hana
● Mīkini hoʻomaʻemaʻe a hoʻopau endoscope
● Hana lima: pono e hoʻopiha ʻia ka mea hoʻomaʻemaʻe me kēlā me kēia paipu a hoʻomoʻa ʻia e hoʻomaʻemaʻe
3. Nā Mālama
Glutaraldehyde 25%he mea hoʻonāukiuki i ka ʻili, nā maka a me ka hanu, a hiki ke hana i ka dermatitis, conjunctivitis, mumū o ka ihu a me ka hānō hana, no laila pono e hoʻohana ʻia i ka mīkini hoʻomaʻemaʻe a me ka disinfection endoscope.
Nā hana palekana me ka glutaraldehyde
He mea hoʻonāukiuki ka Glutaraldehyde i ka ʻili a me nā membrane mucous a he mea ʻawahia hoʻi i nā kānaka, a hiki i ka hopena glutaraldehyde ke hōʻeha nui i nā maka. No laila, pono e hoʻomākaukau a hoʻohana ʻia i kahi ea maikaʻi, pono e hoʻomākaukau maikaʻi ʻia ka palekana pilikino, e like me ke komo ʻana i nā pale maka pale, nā mīkina lima pale a me nā aniani pale. Inā pili me ka manaʻo ʻole, pono e holoi koke ʻia me ka wai, a pono e ʻimi koke i ke kōkua lapaʻau inā ua ʻeha nā maka.
Pono e hoʻohana ʻia ma kahi ea maikaʻi, a inā pono, pono e loaʻa nā lako hoʻopau i ka wahi. Inā kiʻekiʻe loa ka nui o ka glutaraldehyde i ka lewa ma kahi e hoʻohana ai, ua ʻōlelo ʻia e hoʻolako ʻia me nā mea hanu ponoʻī (mask pale kaomi maikaʻi). Pono e hoʻomaʻemaʻe, uhi ʻia a hoʻomaʻemaʻe ʻia nā ipu i hoʻohana ʻia no ka hoʻomoʻa ʻana i nā mea hana ma mua o ka hoʻohana ʻana.
Ke nānā ʻana i ke alapine (frequency) o ka nui o ka glutaraldehyde
Hiki ke nānā ʻia ka nui kūpono o ka glutaraldehyde me nā ʻāpana hoʻāʻo kemika.
I ke kaʻina hana o ka hoʻohana mau ʻana, pono e hoʻoikaika ʻia ka nānā ʻana i kēlā me kēia lā e hoʻomaopopo i kona loli ʻana o ka nui, a ʻaʻole pono e hoʻohana ʻia ke loaʻa kona nui ma lalo o ka nui i makemake ʻia.
Pono e hōʻoia ʻia e kū pono ana ka nui o ka glutaraldehyde i ka hoʻohana ʻana i nā koi o ka manual huahana.
PonoE hoʻāla ʻia ka glutaraldehyde ma mua o ka hoʻohana ʻana?
He waikawa ka hopena wai o ka glutaraldehyde a ʻaʻole hiki ke pepehi i nā spores ʻōpiopio i ke kūlana waikawa. ʻO ka wā wale nō e "hoʻāla ʻia" ai ka hopena e ka alkalinity i ka waiwai pH o 7.5-8.5 hiki iā ia ke pepehi i nā spores. Ke hoʻāla ʻia, loaʻa i kēia mau hopena kahi ola o ka liʻiliʻi he 14 mau lā. Ma nā pae pH alkaline, ʻano polymerize nā mole glutaraldehyde. ʻO ka polymerization o ka glutaraldehyde ka hopena i ka pani ʻana o ka hui aldehyde kahua hana o kāna mole glutaraldehyde kuleana no ka pepehi ʻana i nā spores ʻōpiopio, a pēlā e hoʻemi ʻia ai ka hopena bactericidal.
Nā mea e pili ana i ka sterilization o ka glutaraldehyde
1. Ka noʻonoʻo a me ka manawa hana
E hoʻonui ʻia ka hopena bactericidal me ka hoʻonui ʻia o ka noʻonoʻo a me ka hoʻolōʻihi ʻana o ka manawa hana. Eia nō naʻe, ʻaʻole hiki i ka hopena glutaraldehyde me kahi hapa nui o ka liʻiliʻi ma mua o 2% ke hoʻokō i kahi hopena bactericidal hilinaʻi ma nā spores bacteria, ʻaʻohe mea pehea e hoʻolōʻihi ai i ka manawa bactericidal. No laila, pono e hoʻohana i ka hopena glutaraldehyde me ka hapa nui o ka nui ma mua o 2% e pepehi i nā spores bacteria.
2. Ka waikawa a me ka alkalinity o ka hopena
ʻOi aku ka haʻahaʻa o ka hopena bactericidal o ka glutaraldehyde acid ma mua o ka glutaraldehyde alkaline, akā e emi mālie ka ʻokoʻa me ka piʻi ʻana o ka mahana. Ma ka pae o ka pH 4.0-9.0, piʻi ka hopena bactericidal me ka piʻi ʻana o ka pH; ʻike ʻia ka hopena bactericidal ikaika loa ma ka pH 7.5-8.5; ma ka pH >9, hoʻopili koke ka glutaraldehyde a nalowale koke ka hopena bactericidal.
3. Mahana
Loaʻa iā ia ka hopena bactericidal i nā mahana haʻahaʻa. Hoʻonui ka hopena bactericidal o ka glutaraldehyde me ka mahana, a ʻo kona coefficient mahana (Q10) he 1.5 a 4.0 ma 20-60 ℃.
4. Mea olaola
Hoʻonāwaliwali ka mea ola i ka hopena bactericidal, akā ʻoi aku ka liʻiliʻi o ka hopena o ka mea ola i ka hopena bactericidal o ka glutaraldehyde ma mua o nā mea hoʻomaʻemaʻe ʻē aʻe. ʻAʻohe hopena o 20% serum bipi a me 1% koko holoʻokoʻa i ka hopena bactericidal o 2% glutaraldehyde.
5. Ka hopena synergistic o nā surfactants nonionic a me nā mea physicochemical ʻē aʻe
He surfactant nonionic ka polyoxyethylene fatty alcohol ether, a ua hoʻomaikaʻi nui ʻia ke kūpaʻa a me ka hopena bactericidal ma ka hoʻohui ʻana i ka 0.25% polyoxyethylene fatty alcohol ether i ka hopena glutaraldehyde i hana ʻia me ka hoʻonui ʻia o ka acid-base glutaraldehyde. Loaʻa i ka ultrasound, nā kukuna infrared mamao a me ka glutaraldehyde kahi hopena sterilization synergistic.
ʻO Springchem, kahi mea hana glutaraldehyde 10 kiʻekiʻe loa ma Kina, hāʻawi i ka glutaraldehyde 25% a me 50% no nā ʻoihana ʻoihana, keʻena hoʻokolohua, mahiʻai, lāʻau lapaʻau, a me kekahi mau hana o ka home, ʻo ia hoʻi no ka disinfection a me ka sterilization o nā ʻili a me nā lako. No kekahi ʻike hou aku, e kelepona mai iā mākou.
Ka manawa hoʻouna: Aug-16-2022