Matenda a MRSA (Staph)

Zamkati

• Kodi MRSA amawoneka bwanji?
• Kodi mitundu yosiyanasiyana ya MRSA ndi iti?
• HA-MRSA
• CA-MRSA
• Kodi zizindikiro za MRSA ndi ziti?
• Zizindikiro za HA-MRSA
• Zizindikiro za CA-MRSA
• Ndani ali pachiwopsezo chotenga MRSA?
• Zowopsa za HA-MRSA
• Zowopsa za CA-MRSA
• Kodi MRSA amadziwika bwanji?
• Zikhalidwe zovulaza
• Chikhalidwe cha Sputum
• Miyambo ya mkodzo
• Zikhalidwe zamagazi
• Kodi MRSA amathandizidwa bwanji?
• Chithandizo cha HA-MRSA
• Chithandizo cha CA-MRSA
• Kodi MRSA ingapewe bwanji?
• Kodi malingaliro a nthawi yayitali ndi ati kwa anthu omwe ali ndi MRSA?

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

MRSA ndi chiyani?

Mankhwala osagwiritsidwa ntchito ndi Methicillin Staphylococcus aureus (MRSA) ndi matenda omwe amayamba ndi Staphylococcus (staph) mabakiteriya. Mabakiteriya amtunduwu amalimbana ndi maantibayotiki osiyanasiyana.

Mabakiteriyawa mwachilengedwe amakhala pamphuno ndi pakhungu ndipo nthawi zambiri samapweteketsa. Komabe, akayamba kuchulukana mosalamulirika, matenda a MRSA amatha kuchitika.

Matenda a MRSA amapezeka makamaka pakadula kapena pakhungu lanu. MRSA imafalikira kwambiri ndipo imatha kufalikira kudzera mwa kukhudzana mwachindunji ndi munthu yemwe ali ndi matendawa.

Zitha kupanganso mgwirizano mwa kukhudzana ndi chinthu kapena malo omwe akhudzidwa ndi munthu yemwe ali ndi MRSA.

Ngakhale matenda a MRSA atha kukhala owopsa, amatha kuthandizidwa bwino ndi maantibayotiki ena.

Kodi MRSA amawoneka bwanji?

Kodi mitundu yosiyanasiyana ya MRSA ndi iti?

Matenda a MRSA amadziwika kuti ndi omwe amapezeka kuchipatala (HA-MRSA) kapena omwe amapeza anthu (CA-MRSA).

HA-MRSA

HA-MRSA imalumikizidwa ndi matenda omwe amapezeka muzipatala, monga zipatala kapena nyumba zosungira anthu okalamba. Mutha kutenga matenda amtunduwu a MRSA kudzera mwa kukhudzana mwachindunji ndi bala lomwe lili ndi kachilomboka kapena manja owonongeka.

Muthanso kutenga kachilomboka mwa kulumikizana ndi nsalu zoyipitsidwa kapena zida zopangira operewera. HA-MRSA imatha kuyambitsa mavuto akulu, monga matenda amwazi ndi chibayo.

CA-MRSA

CA-MRSA imagwirizanitsidwa ndi matenda opatsirana kudzera mwa munthu amene ali ndi kachilomboka kapena mwa kukhudzana mwachindunji ndi bala lomwe lili ndi kachilomboka.

Matenda amtunduwu a MRSA amathanso kukula chifukwa cha ukhondo, monga kusamba m'manja pafupipafupi kapena molakwika.

Kodi zizindikiro za MRSA ndi ziti?

Zizindikiro za MRSA zimatha kusiyanasiyana kutengera mtundu wamatenda.

Zizindikiro za HA-MRSA

HA-MRSA nthawi zambiri imatha kubweretsa zovuta zazikulu, monga chibayo, matenda amikodzo (UTIs), ndi matenda am'magazi sepsis. Ndikofunika kukaonana ndi dokotala nthawi yomweyo ngati muwona izi:

• zidzolo
• kupweteka mutu
• kupweteka kwa minofu
• kuzizira
• malungo
• kutopa
• chifuwa
• kupuma movutikira
• kupweteka pachifuwa

Zizindikiro za CA-MRSA

CA-MRSA nthawi zambiri imayambitsa matenda apakhungu. Madera omwe achulukitsa tsitsi la mthupi, monga kukhwapa kapena kumbuyo kwa khosi, amatha kutenga kachilomboka.

Madera omwe adulidwa, kukandidwa, kapena kusisidwa nawonso ali pachiwopsezo chotenga matenda chifukwa cholepheretsa chanu chachikulu pakhungu - khungu lanu - chawonongeka.

Matendawa nthawi zambiri amapangitsa khungu, kutupa, komanso kupweteka. Chotupacho chimafanana ndi kuluma kwa kangaude kapena chiphuphu. Nthawi zambiri imakhala ndi pakati wachikaso kapena choyera komanso chapakati.

Nthawi zina dera lomwe lili ndi kachilombo limazunguliridwa ndi malo ofiira ndi kutentha, otchedwa cellulitis. Mafinya ndi madzi ena amatha kutuluka m'deralo. Anthu ena amakhalanso ndi malungo.

Ndani ali pachiwopsezo chotenga MRSA?

Zowopsa zimasiyana kutengera mtundu wa matenda a MRSA.

Zowopsa za HA-MRSA

Muli pachiwopsezo chachikulu cha HA-MRSA ngati:

• anagonekedwa m'chipatala m'miyezi itatu yapitayi
• pafupipafupi kukumana hemodialysis
• kukhala ndi chitetezo chamthupi chofooka chifukwa cha matenda ena
• khalani m'nyumba yosungirako okalamba

Zowopsa za CA-MRSA

Muli pachiwopsezo chachikulu cha CA-MRSA ngati:

• kugawana zida zolimbitsa thupi, matawulo, kapena malezala ndi anthu ena
• nawo masewera kukhudzana
• gwirani ntchito kumalo osamalira ana
• khalani m'malo opanikizana kapena opanda ukhondo

Kodi MRSA amadziwika bwanji?

Kuzindikira kumayamba ndikuwunika mbiriyakale yazachipatala ndikuwunika. Zitsanzo zidzachotsedwanso pamalo opatsirana. Mitundu yazitsanzo zomwe zapezeka kuti zithandizire kuzindikira MRSA ndi izi:

Zikhalidwe zovulaza

Zilonda zapa bala zimapezeka ndi cholembera chosabala cha thonje ndikuyika mchidebe. Kenako amatengedwa kupita ku labotale kuti akawasanthule ngati alipo mabakiteriya a staph.

Chikhalidwe cha Sputum

Sputum ndi chinthu chomwe chimachokera kupuma popumira. Chikhalidwe cha sputum chimasanthula sputum ngati kuli mabakiteriya, zidutswa zama cell, magazi, kapena mafinya.

Anthu omwe amatha kutsokomola nthawi zambiri amatha kupereka sputum nyemba mosavuta. Omwe sangakwanitse kutsokomola kapena omwe ali ndi makina opumira amafunika kupukutidwa kupuma kapena bronchoscopy kuti atenge chotupa cha sputum.

Kuwotcha kupuma ndi bronchoscopy kumaphatikizapo kugwiritsa ntchito bronchoscope, yomwe ndi chubu chochepa kwambiri chokhala ndi kamera yolumikizidwa. Moyang'aniridwa bwino, adokotala amalowetsa bronchoscope kudzera pakamwa ndi m'mapapu anu.

Bronchoscope imalola adotolo kuti awone m'mapapu bwino ndikusonkhanitsa chotengera cha sputum kuti akayezetse.

Miyambo ya mkodzo

Nthawi zambiri, chitsanzo cha chikhalidwe cha mkodzo chimapezeka kuchokera pachitsanzo cha mkodzo "pakati poyera". Kuti muchite izi, mkodzo umasonkhanitsidwa mumkapu wosabereka mukakodza. Chikho chimaperekedwa kwa dokotala, yemwe amatumiza ku labu kuti akaunike.

Nthawi zina, mkodzo uyenera kutengedwa kuchokera kuchikhodzodzo. Kuti muchite izi, wothandizira zaumoyo amalowetsa chubu chosabala chotchedwa catheter mu chikhodzodzo. Mkodzo kenako umatuluka m'chikhodzodzo kulowa muchidebe chosabala.

Zikhalidwe zamagazi

Chikhalidwe cha magazi chimafuna kutenga kukoka magazi ndikuyika magazi pachakudya labotale. Ngati mabakiteriya amakula m'mbale, madotolo amatha kuzindikira mosavuta mtundu wa mabakiteriya omwe akuyambitsa matenda.

Zotsatira zamiyambo yamagazi zimatenga pafupifupi maola 48. Zotsatira zoyesa zabwino zitha kuwonetsa matenda am'magazi sepsis. Tizilombo toyambitsa matenda tikhoza kulowa m'magazi kuchokera kumatenda omwe amapezeka mbali zina za thupi lanu, monga mapapu, mafupa, ndi kwamikodzo.

Kodi MRSA amathandizidwa bwanji?

Madokotala amachitira HA-MRSA ndi CA-MRSA mosiyana.

Chithandizo cha HA-MRSA

Matenda a HA-MRSA amatha kutulutsa matenda owopsa komanso owopsa. Matendawa nthawi zambiri amafuna maantibayotiki kudzera mu IV, nthawi zina kwa nthawi yayitali kutengera kukula kwa matenda anu.

Chithandizo cha CA-MRSA

Matenda a CA-MRSA nthawi zambiri amatha kusintha ndi maantibayotiki apakamwa okha. Ngati muli ndi kachilombo kakang'ono kokwanira pakhungu lanu, dokotala wanu atha kusankha kuti azing'amba ndi kukhetsa madzi.

Kutsekemera ndi ngalande kumachitika nthawi zambiri muofesi yomwe ili pansi pa anesthesia yakomweko. Dokotala wanu amagwiritsa ntchito scalpel kuti atsegule malo opatsirana ndikuwatsiratu. Simungafunike maantibayotiki ngati izi zachitika.

Kodi MRSA ingapewe bwanji?

Chitani izi kuti muchepetse chiopsezo chopeza ndi kufalitsa CA-MRSA:

• Sambani m'manja nthawi zonse. Uwu ndiye mzere woyamba wazodzitchinjiriza pakufalitsa MRSA. Sambani manja anu kwa masekondi 15 musanaume ndi thaulo. Gwiritsani ntchito chopukutira china kuzimitsa faucet. Tengani choyeretsa chamanja chomwe chimakhala ndi 60% ya mowa. Gwiritsani ntchito kusamba m'manja mukakhala kuti mulibe sopo ndi madzi.
• Sungani mabala anu nthawi zonse. Kuphimba mabala kumatha kuteteza mafinya kapena madzi ena okhala ndi staph bacteria kuti asadetse malo omwe anthu ena angawakhudze.
• Osagawana zinthu zaumwini. Izi zikuphatikizapo matawulo, mapepala, malezala, ndi zida zamasewera.
• Sambani nsalu zanu. Ngati muli ndi mabala kapena khungu losweka, tsukani nsalu zapa bedi ndi matawulo m'madzi otentha ndi bulitchi yowonjezerapo ndikuumitsa chilichonse pakatentha kwambiri mu chowumitsira. Muyeneranso kuchapa zovala zanu zolimbitsa thupi mukamaliza ntchito iliyonse.

Anthu omwe ali ndi HA-MRSA nthawi zambiri amayikidwa kudzipatula kwakanthawi mpaka matendawa atakula. Kudzipatula kumalepheretsa kufalikira kwa matenda amtunduwu a MRSA. Ogwira ntchito kuchipatala omwe amasamalira anthu omwe ali ndi MRSA ayenera kutsatira njira zotsuka m'manja.

Pofuna kupititsa patsogolo chiopsezo cha MRSA, ogwira ntchito kuchipatala ndi alendo ayenera kuvala zovala zoteteza komanso magolovesi kuti atetezeke kukhudzana ndi malo owonongeka. Linens ndi malo owonongeka ayenera kuthiridwa mankhwala moyenera nthawi zonse.

Kodi malingaliro a nthawi yayitali ndi ati kwa anthu omwe ali ndi MRSA?

Ngakhale anthu ambiri ali ndi mabakiteriya ena a MRSA omwe amakhala pakhungu lawo, kuwonekera mopitirira muyeso kumatha kubweretsa matenda owopsa komanso owopsa.

Zizindikiro ndi mankhwala amasiyana malinga ndi mtundu wa matenda a MRSA omwe munthu ali nawo. Kuyeserera njira zabwino zopewera matenda, monga kusamba m'manja pafupipafupi, kupewa kugawana zinthu zanu, ndikusunga zilonda, zoyera, komanso zowuma zitha kuteteza kufalikira kwake.