, izimpawu nokuthi unjani ukwelashwa

-Delile

• Kwenzeka kanjani ukutheleleka
• Izimpawu zokutheleleka ngo I-Acinetobacter sp.
• Ukuxilongwa kokutheleleka nge I-Acinetobacter sp.
• Ungayigwema kanjani futhi uyelaphe
• Ukwelashwa kwe-Phage

I-Acinetobacter ifanelana nohlobo lwebhaktheriya oluvame ukuhlotshaniswa nezifo ezihlobene nemvelo yezempilo, i-HAI, engummeleli omkhulu walolu hlobo I-Acinetobacter baumannii, okuthi ngaphezu kokuhlobene nokutheleleka endaweni yesibhedlela nayo iveze ukumelana nemithi elwa namagciwane eminingi esetshenzisiwe, okwenza ukwelashwa kube nzima.

Leli bhaktheriya lithathwa njengelingenhlanhla, ngoba lidala izifo kubantu abanezici ezithanda ukwenzeka kwalo, njengokuncipha kokusebenza kwamasosha omzimba nobude besikhathi eside bokuhlala e-Intensive Care Unit (ICU). O I-Acinetobacter sp. ingahle itholakale esikhunjeni, kepha kubantu abasesibhedlela ivame ukukhonjwa emphinjeni nasemigodini yokuphefumula.

Kwenzeka kanjani ukutheleleka

Ukutheleleka nge I-Acinetobacter sp. kwenzeka ikakhulukazi esibhedlela ngokuthintana nezindawo ezingcolisiwe noma ngokuxhumana nomunye umuntu onegciwane, izandla zibhekwa njengendlela ehamba phambili yokudlulisa nokutheleleka.

Lolu hlobo lokutheleleka kulula ukwenzeka kubantu abalaliswe isikhathi eside esibhedlela e-Intensive Care Unit (ICU), abanamanxeba esikhumba, abanamasosha omzimba angasebenzi kahle, abaphefumula ngosizo lwamadivayisi, noma abane-catheter , Ngokwesibonelo.

Lokhu kungenxa yokuthi amabhaktheriya akwazi ukwenza ifomu le-biofilm kumadivayisi wezokwelapha, ahambelana nendlela yokumelana lapho amabhaktheriya anganamathela ebusweni bedivayisi futhi ande kahle kakhulu, okwenza ukwelashwa kube nzima futhi kuholele ezinkingeni.

Ngakho-ke, esibhedlela, ukutheleleka nge I-Acinetobacter sp. kungahle futhi kuhlobane namadivayisi wezokwelapha asetshenziswa nsuku zonke.

Izimpawu zokutheleleka ngo I-Acinetobacter sp.

Izimpawu zokutheleleka zingahluka ngokuya ngokuthi amagciwane atholakala kuphi futhi aqala kuphi. Ngakho-ke, uma usohlelweni lokuphefumula, i- I-Acinetobacter sp. kungaholela ekubonakaleni kwezimpawu nezimpawu ze-pneumonia, njengokuphefumula kanzima, umkhuhlane kanye nobuhlungu besifuba.

Lapho isehlelweni lokuchama, kungaholela ekubonakaleni kwezimpawu zokutheleleka ngomchamo, njengobuhlungu nokushisa lapho uchama, ukunxanela kaningi ukuya endlini yangasese nomchamo onamafu.

Kubantu abanamasosha omzimba abe buthakathaka kakhulu noma abalaliswe esibhedlela isikhathi eside, kujwayelekile ukuthi amabhaktheriya afinyelele egazini kalula futhi aholele ekubonakaleni kwezimpawu ezibonisa i-bacteremia, ehambelana nokuba khona kwamagciwane igazi, kungahle kube nemfiva ephezulu nephikelelayo, kwehle umfutho wegazi, isicanucanu nesiyezi. Nakhu ukuthi ungazibona kanjani izimpawu zokutheleleka ngegazi.

Ukuxilongwa kokutheleleka nge I-Acinetobacter sp.

Ukutholakala kokutheleleka nge I-Acinetobacter sp. kwenziwa endaweni yesibhedlela, ngoba abantu abaningi abanalesi sifo bangeniswa ezibhedlela, ngokuqoqwa kwesampula segazi, uketshezi lwamathambo kanye / noma umchamo, othunyelwa elabhorethri ye-microbiology ukuyoyihlola.

Amasampuli ayacutshungulwa futhi ahlaziywe ngokuya ngezici ezinkulu nezincane zemikhakha yamagciwane etholwe ngemuva kokufukanyiselwa ku-37ºC, okuyisilinganiso sokushisa esifanelekile sokukhula kwamagciwane. Ngemuva kwalokho, kubonwa amabhaktheriya bese kwenziwa i-antibiotic, lapho kuqinisekiswa khona iphrofayli yamagciwane okuzwela nokumelana namagciwane, lolu lwazi lubalulekile ukuze udokotela akhombise umuthi ofanele kakhulu kumuntu futhi akwazi ukuqeda amagciwane. Qonda ukuthi i-antibiotic yenziwa kanjani.

Ungayigwema kanjani futhi uyelaphe

Njenge I-Acinetobacter sp. imelana nemithi eminingi, okusho ukuthi, inezindlela eziningana zokumelana nama-antibiotic asetshenziswa ngokujwayelekile, futhi inamandla okwakha i-biofilm, okuyikhono lebhaktheriya lokunamathela kumadivayisi wezokwelapha nokuphindaphindeka, ukwelashwa kunzima.

Ngakho-ke, umuntu okhonjwe ukuthi unegciwane ngu I-Acinetobacter sp. i-multiresistant kumele ihlale esibhedlela iyodwa futhi inezivikelo zokuxhumana, ngasikhathi sinye njengoba kwenziwa ukwelashwa ngama-antibiotic ukuthi ibhaktheriya lisazwela, ngoba lokhu kuvimbela i-microorganism ekusakazekeni nabanye abantu bangangcoliswa.

Ukugwema ukutheleleka, isenzo esikhulu okufanele sithathwe ukugeza izandla okulungile, ngoba izandla zihambelana nezindlela eziyinhloko zokudlulisa izifo endaweni yesibhedlela. Ngaphezu kwalokho, kubalulekile ukuthi ungasebenzisi ama-antibiotic ngaphandle kokuncoma kukadokotela, ngoba kungakhuthaza ukwakhiwa kwama-antibiotic ukumelana, futhi, lapho usesibhedlela, gwema ukusondela ezigulini ezihlukanisiwe noma, uma kunesidingo sokuxhumana, geza izandla ngaphambi nangemva kokuthintana nalo muntu futhi gqoka izinto zokuzivikela. Funda kabanzi mayelana nokuthi ungakugwema kanjani ukutheleleka esibhedlela.

Ukwelashwa kwe-Phage

Ukwelashwa kwe-Phage, okubizwa nangokuthi i-phage therapy, luhlobo lwezokwelapha lapho ama-bacteriophages asetshenziselwa ukulwa nezifo okunzima ukuzelapha ikakhulukazi ngenxa yokumelana nemithi eminingi yama-antibiotic. Ama-bacteriophages, noma ama-phages amane nje, angamagciwane anamandla okubhubhisa amabhaktheriya, ngakho-ke, ukusetshenziswa kwawo ekwelapheni izifo ezingazweli kakhulu kungasebenza.

I-bacteriophage ngayinye inesibopho sokulwa nelilodwa noma iqembu lamagciwane futhi, ngakho-ke, ekwelapheni izifo, i-cocktail ethile yama-bacteriophages ingenziwa ukulwa nokutheleleka okunikeziwe. Muva nje, ukwelashwa kwephage kuye kwasebenza ekwelapheni I-Acinetobacter baumannii ukumelana nemithi eminingi, lapho ama-bacteriophages akwazi khona ukuqeda amagciwane futhi ngaleyo ndlela alwe nokutheleleka futhi athuthukise impilo yomuntu.

Yize kuyindlela endala, ukwelashwa ngama-bacteriophages kutholile ukugqama eminyakeni yamuva ngenxa yenani elikhulu lamagciwane amaningi amelana nezinto eziningi. Funda kabanzi ngama-bacteriophages.