, zizindikiro komanso momwe mankhwalawa aliri

Zamkati

• Momwe matenda amachitikira
• Zizindikiro za matenda mwa Acinetobacter sp.
• Kuzindikira matenda mwa Acinetobacter sp.
• Momwe mungapewere ndi kuchitira
• Chithandizo cha Phage

Acinetobacter limafanana ndi mtundu wa mabakiteriya omwe amapezeka nthawi zambiri ndi matenda okhudzana ndi thanzi, HAI, pokhala woyimira wamkulu wa mtunduwu Acinetobacter baumannii.

Bacteria iyi imawonedwa ngati yopatsa mwayi, chifukwa imayambitsa matenda mwa anthu omwe ali ndi zinthu zomwe zimakonda kupezeka kwawo, monga kuchepa kwa chitetezo cha mthupi komanso nthawi yayitali yokhala mu Intensive Care Unit (ICU). O Acinetobacter sp. imatha kupezeka pakhungu, komabe mwa anthu omwe ali mchipatala nthawi zambiri imadziwika pakhosi komanso m'matumbo.

Momwe matenda amachitikira

Matenda ndi Acinetobacter sp. zimachitika makamaka kuchipatala kudzera pakukhudzana ndi malo owonongeka kapena kudzera mwa munthu wina yemwe ali ndi kachilomboka, manja akuwonedwa ngati njira yayikulu yopatsira ndi matenda.

Matenda amtunduwu ndiosavuta kuchitika kwa anthu omwe agonekedwa mchipatala kwanthawi yayitali mchipatala cha Intensive Care Unit (ICU), ali ndi zilonda pakhungu, ali ndi chitetezo chamthupi, opuma mothandizidwa ndi zida, kapena amene ali ndi catheter , Mwachitsanzo.

Izi ndichifukwa choti mabakiteriya amatha kupanga mawonekedwe a biofilm mu zida zamankhwala, zomwe zimafanana ndi njira yolimbana ndi momwe mabakiteriya amatha kumamatira pamwamba pa chipangizocho ndikuchulukirachulukira, ndikupangitsa mankhwala kukhala ovuta ndikupangitsa zovuta.

Chifukwa chake, mchipatala, matenda mwa Acinetobacter sp. itha kukhala yokhudzana ndi zida zamankhwala zomwe zimagwiritsidwa ntchito tsiku ndi tsiku.

Zizindikiro za matenda mwa Acinetobacter sp.

Zizindikiro za matenda zimasiyana kutengera komwe mabakiteriya amapezeka ndi komwe amakula. Chifukwa chake, ngati ali m'thupi, Acinetobacter sp. zingayambitse kuwonekera kwa zizindikilo za chibayo, monga kupuma movutikira, malungo ndi kupweteka pachifuwa.

Ikakhala mumikodzo, imatha kubweretsa kuwonekera kwa matenda amkodzo, monga kupweteka ndi kuwotcha mukakodza, kufunitsitsa kupita kuchimbudzi ndi mkodzo wamitambo.

Kwa anthu omwe ali ndi chitetezo chamthupi chocheperako kapena omwe amakhala mchipatala kwa nthawi yayitali, sizachilendo kuti mabakiteriya amafika m'magazi mosavuta ndikupangitsa kuti zizindikilo za bacteremia, zomwe zikufanana ndi kupezeka kwa mabakiteriya mu magazi, pakhoza kukhala kutentha kwakukulu komanso kosalekeza, kutsika kwa magazi, mseru komanso chizungulire. Umu ndi momwe mungazindikire zizindikiro za matenda amwazi.

Kuzindikira matenda mwa Acinetobacter sp.

Matendawa amapezeka ndi Acinetobacter sp. zimachitika mchipatala, popeza anthu ambiri omwe ali ndi matendawa amagonekedwa mchipatala, kudzera pakupeza magazi, katemera wamatumbo ndi / kapena mkodzo, womwe umatumizidwa ku labotale ya microbiology kuti akaunike.

Zitsanzozi zimasinthidwa ndikuwunikidwa molingana ndi zazing'onozing'onozing'ono zazing'ono zamabakiteriya zomwe zimapezeka pambuyo pa makulitsidwe a 37ºC, komwe kumatentha kwambiri pakukula kwa bakiteriya. Kenako, mabakiteriya amadziwika ndipo antibiotic imagwiridwa, momwe mbiri ya mabakiteriya omvera komanso kukana maantibayotiki imatsimikiziridwa, izi ndizofunikira kuti adokotala athe kuwonetsa mankhwala oyenera kwambiri kwa munthuyo ndipo amatha mabakiteriya. Mvetsetsani momwe antibiotic imapangidwira.

Momwe mungapewere ndi kuchitira

Monga Acinetobacter sp. ndi mankhwala osokoneza bongo, ndiko kuti, ali ndi njira zingapo zotsutsana ndi maantibayotiki omwe amagwiritsidwa ntchito nthawi zambiri, ndipo amatha kupanga biofilm, yomwe ndi bakiteriya yomwe imatha kutsatira zida zamankhwala ndikuchulukitsa, chithandizo ndi chovuta.

Chifukwa chake, munthu yemwe wapezeka ndi matenda mwa Acinetobacter sp. multresistant ayenera kukhala mchipatala ali yekhayekha komanso ndi njira zodziyankhulira, nthawi yomweyo chithandizo chamankhwala opha tizilombo chikachitika kuti bakiteriya akadali tcheru, chifukwa izi zimalepheretsa tizilombo kufalikira komanso kuti anthu ena asadetsedwe.

Pofuna kupewa matenda, chinthu chachikulu chomwe chiyenera kuchitidwa ndikusamba m'manja molondola, popeza manja amafanana ndi njira zazikulu zopatsira matenda m'zipatala. Kuphatikiza apo, ndikofunikira kuti musagwiritse ntchito maantibayotiki popanda malingaliro a adotolo, chifukwa zitha kulimbikitsa kukula kwa maantibayotiki, ndipo, mukakhala kuchipatala, pewani kukhala pafupi ndi odwala omwe ali okhaokha kapena, ngati kuli kofunikira kulumikizana, sambani m'manja musanakumane ndi munthuyo ndipo muzivala zodzitetezera. Dziwani zambiri za momwe mungapewere matenda opatsirana.

Chithandizo cha Phage

Chithandizo cha phage, chotchedwanso phage therapy, ndi mtundu wamankhwala omwe ma bacteriophages amagwiritsidwa ntchito kuthana ndi matenda omwe ndi ovuta kuwachiza makamaka chifukwa chokana mankhwala ambiri opha tizilombo. Bacteriophages, kapena mapaipi chabe, ndi mavairasi omwe amatha kuwononga mabakiteriya, chifukwa chake, kugwiritsa ntchito kwawo pochiza matenda opatsirana ambiri kumatha kukhala othandiza.

Bacteriophage aliyense amayenera kulimbana ndi m'modzi kapena gulu la mabakiteriya, chifukwa chake, pochiza matenda, malo ogulitsira a bacteriophages amatha kupangidwa kuti athane ndi matenda omwe apatsidwa. Posachedwa, mankhwala a phage akhala othandiza pochiza Acinetobacter baumannii Kugonjetsedwa kwa mankhwala osokoneza bongo, komwe ma bacteriophages amatha kuthana ndi mabakiteriya motero amateteza matenda ndikupangitsa kuti moyo wa munthu ukhale wabwino.

Ngakhale idakhala njira yakale, chithandizo cha bacteriophages chatchuka kwambiri m'zaka zaposachedwa chifukwa cha tizilombo tambiri tosamva mankhwala. Dziwani zambiri za bacteriophages.