{"id":97478,"date":"2025-03-18T07:53:03","date_gmt":"2025-03-18T07:53:03","guid":{"rendered":"https:\/\/stopcarcinogensatwork.eu\/fact\/chirurgicky-kour\/"},"modified":"2025-03-18T07:53:03","modified_gmt":"2025-03-18T07:53:03","slug":"chirurgicky-kour","status":"publish","type":"fact","link":"https:\/\/stopcarcinogensatwork.eu\/cs\/fact\/chirurgicky-kour\/","title":{"rendered":"Chirurgick\u00fd kou\u0159"},"content":{"rendered":"

Podle \u00fadaj\u016f z roku 2018 pracuj\u00ed na opera\u010dn\u00edch s\u00e1lech denn\u011b tis\u00edce z 1,7 milionu l\u00e9ka\u0159\u016f a 3,1 milionu zdravotn\u00edch sester v EU. Pat\u0159\u00ed sem i 400 000 chirurg\u016f, kte\u0159\u00ed pracuj\u00ed na opera\u010dn\u00edch s\u00e1lech v cel\u00e9 EU. Chirurgick\u00fd kou\u0159, kter\u00fd vznik\u00e1 na opera\u010dn\u00edch s\u00e1lech (OR) p\u0159i pou\u017e\u00edv\u00e1n\u00ed elektrochirurgick\u00fdch p\u0159\u00edstroj\u016f, laser\u016f a dal\u0161\u00edch energetick\u00fdch za\u0159\u00edzen\u00ed, m\u016f\u017ee obsahovat v z\u00e1vislosti na tk\u00e1n\u00edch \u0159adu a r\u016fzn\u00e1 mno\u017estv\u00ed \u0161kodliv\u00fdch l\u00e1tek, v\u010detn\u011b karcinogen\u016f kategorie 1A, jako je Benzen a Formaldehyd. P\u0159i vystaven\u00ed chirurgick\u00e9mu kou\u0159i m\u016f\u017ee b\u00fdt den na opera\u010dn\u00edm s\u00e1le stejn\u011b nebezpe\u010dn\u00fd jako vykou\u0159en\u00ed 27 cigaret denn\u011b, co\u017e p\u0159edstavuje v\u00fdznamnou hrozbu pro zdrav\u00ed person\u00e1lu opera\u010dn\u00edch s\u00e1l\u016f v cel\u00e9 Evrop\u011b. <\/p><\/blockquote>\n

L\u00e9ka\u0159i, zdravotn\u00ed sestry a technici na opera\u010dn\u00edch s\u00e1lech tr\u00e1v\u00ed na opera\u010dn\u00edch s\u00e1lech zna\u010dn\u00e9 mno\u017estv\u00ed \u010dasu, a proto jsou velmi vystaveni rizik\u016fm Chirurgick\u00e9ho kou\u0159e a vdechuj\u00ed vzduch obsahuj\u00edc\u00ed a\u017e 150 \u0161kodliv\u00fdch toxin\u016f, v\u010detn\u011b zn\u00e1m\u00fdch karcinogen\u016f.<\/p>\n

Kde se vyskytuj\u00ed rizika<\/h2>\n

Chirurgick\u00fd kou\u0159, zn\u00e1m\u00fd tak\u00e9 jako diatermick\u00fd d\u00fdm, vznik\u00e1 b\u011bhem operace a je produkov\u00e1n p\u0159i pou\u017eit\u00ed chirurgick\u00fdch p\u0159\u00edstroj\u016f, jako jsou lasery, elektrochirurgick\u00e9 jednotky, ultrazvukov\u00e9 jednotky, kauterov\u00e9 jednotky a vysokorychlostn\u00ed vrt\u00e1ky a fr\u00e9zy pou\u017e\u00edvan\u00e9 k \u0159ez\u00e1n\u00ed a roz\u0159ez\u00e1v\u00e1n\u00ed tk\u00e1n\u011b. Chirurgick\u00fd kou\u0159 obsahuje \u0159adu toxick\u00fdch l\u00e1tek, v\u010detn\u011b Benzenu a Formaldehydu. <\/p>\n

Zdravotn\u00ed komplikace zp\u016fsoben\u00e9 chirurgick\u00fdm kou\u0159em jsou nejv\u00edce ohro\u017eeny u zdravotn\u00edch sester, chirurg\u016f, anesteziolog\u016f, technik\u016f, veterin\u00e1\u0159\u016f a v\u0161ech, kte\u0159\u00ed pracuj\u00ed na opera\u010dn\u00edch s\u00e1lech. Je tak\u00e9 d\u016fle\u017eit\u00e9 si uv\u011bdomit, \u017ee zdravotni\u010dt\u00ed pracovn\u00edci nejsou jedin\u00ed, koho chirurgick\u00fd kou\u0159 ohro\u017euje. <\/p>\n

Dal\u0161\u00ed informace o nebezpe\u010d\u00ed<\/h2>\n

Chirurgick\u00fd kou\u0159 se skl\u00e1d\u00e1 p\u0159ibli\u017en\u011b z 95 % z vody a z 5 % z organick\u00fdch par a bun\u011b\u010dn\u00fdch zbytk\u016f ve form\u011b pevn\u00fdch \u010d\u00e1stic. Pevn\u00e9 \u010d\u00e1stice se skl\u00e1daj\u00ed z chemick\u00fdch l\u00e1tek, krevn\u00edch a tk\u00e1\u0148ov\u00fdch \u010d\u00e1stic, vir\u016f a bakteri\u00ed. Tato \u0159ada toxick\u00fdch a \u0161kodliv\u00fdch l\u00e1tek je nebezpe\u010dn\u00e1 pro osoby, kter\u00e9 jsou jim vystaveny. <\/p>\n

Mezi slo\u017eky chirurgick\u00e9ho kou\u0159e pat\u0159\u00ed acetonitril, akrolein, Benzen, Toluen<\/a>, Formaldehyd a polycyklick\u00e9<\/a> aromatick\u00e9 uhlovod\u00edky.<\/a> Studie prok\u00e1zaly, \u017ee v chirurgick\u00e9m kou\u0159i se nach\u00e1zej\u00ed chemick\u00e9 a biologick\u00e9 slou\u010deniny, kter\u00e9 jsou dr\u00e1\u017ediv\u00e9, mutagenn\u00ed, karcinogenn\u00ed a neurotoxick\u00e9. <\/p>\n

Nebezpe\u010d\u00ed, kter\u00e1 mohou nastat<\/h2>\n

Chirurgick\u00fd kou\u0159 m\u016f\u017ee zp\u016fsobit p\u0159\u00edm\u00e9 i nep\u0159\u00edm\u00e9 po\u0161kozen\u00ed \u010d\u00e1sticemi, kter\u00e9 obsahuje. V p\u0159\u00edpad\u011b p\u0159\u00edm\u00fdch \u00fa\u010dink\u016f m\u016f\u017ee v\u00e9st k podr\u00e1\u017ed\u011bn\u00ed o\u010d\u00ed a k\u016f\u017ee (tzv. dermatitida), akutn\u00edm bolestem hlavy nebo alergick\u00e9 r\u00fdm\u011b u person\u00e1lu nemocni\u010dn\u00edch opera\u010dn\u00edch s\u00e1l\u016f. M\u016f\u017ee tak\u00e9 zv\u00fd\u0161it riziko chronick\u00fdch plicn\u00edch onemocn\u011bn\u00ed, jako je profesion\u00e1ln\u00ed astma a chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN). V\u00fdzkum uk\u00e1zal, \u017ee zdravotn\u00ed sestry na opera\u010dn\u00edch s\u00e1lech jsou vystaveny vy\u0161\u0161\u00edmu riziku z\u00e1va\u017en\u00e9ho p\u0159etrv\u00e1vaj\u00edc\u00edho astmatu ne\u017e ostatn\u00ed zdravotn\u00ed sestry. <\/p>\n

V p\u0159\u00edpad\u011b nep\u0159\u00edm\u00fdch \u00fa\u010dink\u016f bylo hl\u00e1\u0161eno riziko komplikac\u00ed v t\u011bhotenstv\u00ed a neplodnosti u chirurgick\u00fdch pracovnic. Existuj\u00ed tak\u00e9 obavy, \u017ee chirurgick\u00fd kou\u0159 m\u016f\u017ee p\u0159en\u00e1\u0161et infekce, nap\u0159\u00edklad \u017eiv\u00e9 viry nebo bakterie. <\/p>\n

Co m\u016f\u017eete ud\u011blat<\/h2>\n

Existuje cel\u00e1 \u0159ada technologi\u00ed, kter\u00e9 se zab\u00fdvaj\u00ed problematikou chirurgick\u00e9ho kou\u0159e, p\u0159i\u010dem\u017e n\u011bkter\u00e9 z nich jsou \u00fa\u010dinn\u011bj\u0161\u00ed ne\u017e jin\u00e9. Pat\u0159\u00ed mezi n\u011b syst\u00e9my s vysokou ventilac\u00ed, za\u0159\u00edzen\u00ed pro m\u00edstn\u00ed ods\u00e1v\u00e1n\u00ed kou\u0159e a filtra\u010dn\u00ed chirurgick\u00e9 masky. Komplexn\u00ed p\u0159\u00edstup vy\u017eaduje pou\u017eit\u00ed r\u016fzn\u00fdch technologi\u00ed najednou. Za\u0159\u00edzen\u00ed pro lok\u00e1ln\u00ed ods\u00e1v\u00e1n\u00ed zachycen\u00edm kou\u0159e p\u0159\u00edmo u zdroje a odfiltrov\u00e1n\u00edm mal\u00fdch \u010d\u00e1stic zaji\u0161\u0165uj\u00ed minim\u00e1ln\u00ed nebo \u017e\u00e1dn\u00e9 vystaven\u00ed \u0161kodliv\u00fdm \u00fa\u010dink\u016fm Chirurgick\u00e9ho kou\u0159e. I kdy\u017e lze k ochran\u011b zdrav\u00ed osob pracuj\u00edc\u00edch na opera\u010dn\u00edch s\u00e1lech pou\u017e\u00edt n\u011bkolik mechanism\u016f, nic nen\u00ed tak \u00fa\u010dinn\u00e9 jako zachycen\u00ed Chirurgick\u00e9ho kou\u0159e p\u0159\u00edmo u zdroje a odfiltrov\u00e1n\u00ed mal\u00fdch \u010d\u00e1stic. Nejv\u011bt\u0161\u00ed ochranu zdravotnick\u00e9ho person\u00e1lu a pacient\u016f p\u0159edstavuj\u00ed za\u0159\u00edzen\u00ed pro lok\u00e1ln\u00ed evakuaci. Proto se doporu\u010duje odv\u00e1d\u011bt chirurgick\u00fd kou\u0159 do vzd\u00e1lenosti maxim\u00e1ln\u011b 2 cm od zdroje, aby se minimalizovalo riziko expozice. <\/p>\n

Tk\u00e1n\u011b v\u0161ak m\u016f\u017eeme rozd\u011blit do t\u0159\u00ed r\u016fzn\u00fdch t\u0159\u00edd podle produkce Chirurgick\u00e9ho kou\u0159e. Tk\u00e1n\u011b s vysok\u00fdm obsahem PM, jako jsou j\u00e1tra, tk\u00e1n\u011b se st\u0159edn\u00edm obsahem PM, v\u010detn\u011b k\u016fry ledvin, ledvinov\u00e9 p\u00e1nvi\u010dky a kostern\u00edho svalstva, a tk\u00e1n\u011b s n\u00edzk\u00fdm obsahem PM, jako je k\u016f\u017ee, \u0161ed\u00e1 hmota, b\u00edl\u00e1 hmota, pr\u016fdu\u0161ky a podko\u017en\u00ed tuk. <\/p>\n

Zat\u00edmco zachycen\u00ed zdroje je obecn\u011b velmi \u00fa\u010dinn\u00e9, u tk\u00e1n\u00ed s vysok\u00fdm obsahem PM, jako jsou j\u00e1tra, nemus\u00ed b\u00fdt dostate\u010dn\u00e9. I p\u0159i pou\u017eit\u00ed syst\u00e9m\u016f odv\u00e1d\u011bn\u00ed kou\u0159e mohou koncentrace \u010d\u00e1stic p\u0159i p\u016fsoben\u00ed na tk\u00e1n\u011b s vysok\u00fdm obsahem PM st\u00e1le dosahovat nezdrav\u00fdch hodnot. To nazna\u010duje, \u017ee k zaji\u0161t\u011bn\u00ed odpov\u00eddaj\u00edc\u00ed ochrany person\u00e1lu opera\u010dn\u00edho s\u00e1lu jsou nezbytn\u00e1 dal\u0161\u00ed ochrann\u00e1 opat\u0159en\u00ed, jako jsou ULPA filtry, organiza\u010dn\u00ed opat\u0159en\u00ed (nap\u0159. sn\u00ed\u017een\u00ed po\u010dtu pracovn\u00edk\u016f a doby jejich p\u0159\u00edtomnosti na opera\u010dn\u00edm s\u00e1le) a respir\u00e1tory (FFP3), ve spojen\u00ed se za\u0159\u00edzen\u00edmi pro ods\u00e1v\u00e1n\u00ed kou\u0159e. <\/p>\n

Na opera\u010dn\u00edch s\u00e1lech se b\u011b\u017en\u011b pou\u017e\u00edvaj\u00ed obli\u010dejov\u00e9 masky a ventila\u010dn\u00ed syst\u00e9my, kter\u00e9 se v\u0161ak ukazuj\u00ed jako ne\u00fa\u010dinn\u00e9 proti Chirurgick\u00e9mu kou\u0159i. Nap\u0159\u00edklad 77 % \u010d\u00e1stic v chirurgick\u00e9m kou\u0159i nen\u00ed standardn\u00edmi chirurgick\u00fdmi maskami dostate\u010dn\u011b odfiltrov\u00e1no a masky s vysokou filtrac\u00ed jsou \u00fa\u010dinn\u00e9 pouze do velikosti 0,1 mikronu, co\u017e neodfiltruje v\u0161echny viry s n\u00e1sledn\u00fdmi mo\u017en\u00fdmi zdravotn\u00edmi \u00fa\u010dinky. Filtr ULPA (Ultra-Low Particular Air) v\u0161ak \u00fa\u010dinn\u011b odstra\u0148uje submikronov\u00e9 \u010d\u00e1stice ze vzduchu. <\/p>\n

Odkazy: Koalice proti chirurgick\u00e9mu kou\u0159i<\/p>\n

 <\/p>\n

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