, matenda ndi momwe angakhalire

Zamkati

• Zizindikiro zazikulu
• Matenda omwe amayamba chifukwa cha Staphylococcus aureus
• Momwe matendawa amapangidwira
• Chithandizo cha S. aureus
• Staphylococcus aureus kugonjetsedwa ndi methicillin

O Staphylococcus aureus, kapena S. aureus, Ndi bakiteriya wokhala ndi gramu yemwe amapezeka pakhungu la anthu ndi mucosa, makamaka pakamwa ndi m'mphuno, osawononga thupi. Komabe, chitetezo cha mthupi chikasokonekera kapena pakakhala bala, bakiteriyawa amatha kuchuluka ndikufika m'magazi, ndikupangitsa sepsis, yomwe imafanana ndi matenda ambiri, omwe amatha kupha.

Mitundu iyi ya staphylococcus imadziwikanso kwambiri m'zipatala, chifukwa chake ndikofunikira kupewa kupezeka ndi odwala pachipatala ndikusunga manja anu oyera kuti musayandikire bakiteriya iyi, Staphylococcus aureus kupezeka muzipatala nthawi zambiri kumakana kukana maantibayotiki angapo, zomwe zimapangitsa kuti chithandizo chawo chikhale chovuta.

Matenda ndi S. aureus imatha kusiyanasiyana ndi matenda osavuta, monga folliculitis, mwachitsanzo, endocarditis, yomwe ndi matenda oopsa kwambiri omwe amadziwika ndi kupezeka kwa mabakiteriya mumtima. Chifukwa chake, zizindikilo zimatha kuyambira kufiira kwa khungu, kupweteka kwa minofu ndikutuluka magazi.

Zizindikiro zazikulu

Zizindikiro za matenda mwa S. aureus zimadalira mawonekedwe opatsirana, komwe mabakiteriya ndi matenda a wodwala, omwe atha kukhala:

• Ululu, kufiira ndi kutupa kwa khungu, mabakiteriya akuchulukirachulukira pakhungu, zomwe zimabweretsa mapangidwe a zotupa ndi zotupa;
• Kutentha kwambiri, kupweteka kwa minofu, kupuma movutikira komanso kupweteka mutu, mabakiteriya akamatha kulowa m'magazi, nthawi zambiri chifukwa cha zotupa pakhungu kapena kuvulala, ndipo amatha kufalikira ku ziwalo zingapo;
• Nsautso, kupweteka m'mimba, kutsegula m'mimba ndi kusanza, zomwe zimatha kuchitika mabakiteriya akalowa m'thupi kudzera muzakudya zoyipa.

Chifukwa imatha kupezeka mwachilengedwe m'thupi, makamaka mkamwa ndi mphuno, bakiteriyawa amatha kufalikira kudzera kukhudzana mwachindunji, madontho amlengalenga omwe amapezeka kudzera mwa kutsokomola ndi kuyetsemula komanso kudzera muzinthu zoyipa kapena chakudya.

Kuphatikiza apo, mabakiteriya amatha kufikira magazi kudzera kuvulala kapena masingano, omwe ndi matenda omwe amapezeka pafupipafupi kwa anthu omwe amagwiritsa ntchito jakisoni kapena anthu ashuga omwe amagwiritsa ntchito insulin.

Kutengera ndikulimba kwa zizindikilo za matendawa, pangafunike kuti munthuyo agonekedwe mchipatala ndipo, nthawi zina, kudzipatula mpaka nthendayo ithe.

Matenda omwe amayamba chifukwa cha Staphylococcus aureus

O Staphylococcus aureus zingayambitse matenda opatsirana ndi osavuta kuchiritsidwa kapena matenda owopsa, omwe ndi awa:

1. Folliculitis, yomwe imadziwika ndi kupezeka kwa matuza ang'onoang'ono ndi kufiira pakhungu komwe kumachitika chifukwa cha kuchuluka kwa mabakiteriya m'derali;
2. Cellulitis Yopatsirana, momwemo S. aureus imatha kulowa pakatikati pakhungu, ndikupangitsa kupweteka, kutupa komanso kufiira kwambiri pakhungu;
3. Septicemia, kapena septic shock, limafanana ndi matenda opatsirana omwe amadziwika ndi kupezeka kwa bakiteriya m'magazi, kufikira ziwalo zingapo. Mvetsetsani chomwe mantha akutali;
4. Endocarditis, omwe ndi matenda omwe amakhudza mavavu amtima chifukwa chakupezeka kwa mabakiteriya mumtima. Dziwani zambiri za bakiteriya endocarditis;
5. Osteomyelitis, amenewo ndi matenda am'mafupa omwe amayamba chifukwa cha bakiteriya ndipo amatha kuchitika chifukwa chodetsa fupa kudzera pakucheka, kuphwanya kapena kuyika kwa prosthesis, mwachitsanzo;
6. Chibayo, kuti ndi matenda opuma omwe amapangitsa kuti kupuma kukhale kovuta ndipo atha kuyambitsidwa ndikuphatikizika kwamapapo ndi mabakiteriya;
7. Matenda oopsa kapena khungu lotentha, omwe ndi matenda akhungu omwe amayamba chifukwa cha kupanga poizoni ndi Staphylococcus aureus, kuchititsa khungu kuti lisende;

Anthu omwe ali ndi chitetezo chamthupi chazovuta chifukwa cha oncological, autoimmune kapena matenda opatsirana, adwala kapena adavulala kapena atachitidwa opareshoni atha kutenga kachilombo ka HIV. Staphylococcus aureus.

Pachifukwa ichi, ndikofunikira kusamba m'manja ndikusamala mosamala m'malo opita kuchipatala kuti mupewe matenda amtunduwu, kuphatikiza pazakudya zomwe zimalimbitsa chitetezo chamthupi. Mvetsetsani kufunikira kofunika kusamba m'manja kuti mupewe matenda.

Momwe matendawa amapangidwira

Matendawa amapangidwa chifukwa chodzipatula kwa mabakiteriya, omwe amapangidwa mu labotale ya microbiology kuchokera pachitsanzo chazamoyo, zomwe dokotala amafunsa molingana ndi zizindikilo za munthu, zomwe zingakhale mkodzo, magazi, malovu kapena kutulutsa kwa zilonda.

Pambuyo podzipatula kwa mabakiteriya, maantibayotiki amachitidwa kuti atsimikizire mawonekedwe a tizilombo toyambitsa matenda komanso omwe ndi mankhwala abwino kwambiri ochizira matendawa. Dziwani kuti antibiotic ndi chiyani ndikumvetsetsa zotsatira zake.

Chithandizo cha S. aureus

Chithandizo cha S. aureus nthawi zambiri amatanthauzidwa ndi dokotala kutengera mtundu wa matenda ndi zodwala za wodwalayo. Kuphatikiza apo, ziyenera kuganiziridwa ngati pali matenda ena omwe amabwera nawo, kuyesedwa ndi adotolo kuti matendawa ndi omwe amawopsa kwambiri kwa wodwalayo komanso omwe akuyenera kuthandizidwa mwachangu.

Kuchokera pazotsatira za antibiotic, adotolo atha kunena kuti ndi maantibayotiki ati omwe angakhudze kwambiri mabakiteriya, ndipo chithandizochi nthawi zambiri chimachitidwa ndi methicillin kapena oxacillin masiku 7 mpaka 10.

Staphylococcus aureus kugonjetsedwa ndi methicillin

O Staphylococcus aureus Kulimbana ndi methicillin, yomwe imadziwikanso kuti MRSA, imadziwika kwambiri makamaka muzipatala, ndikupangitsa kuti bakiteriyayi ikhale imodzi mwazomwe zimayambitsa matenda opatsirana pogonana.

Methicillin ndi mankhwala opangidwa kuti athane ndi mabakiteriya opanga beta-lactamase, omwe ndi ma enzyme opangidwa ndi mabakiteriya ena, kuphatikiza S. aureus, monga njira yodzitetezera ku mitundu ina ya maantibayotiki. Komabe, mitundu ina ya Staphylococcus aureus, makamaka omwe amapezeka muzipatala, anayamba kukana mankhwala a methicillin, osayankha chithandizo cha mankhwalawa.

Chifukwa chake, kuchiza matenda omwe amayamba ndi MRSA, ma glycopeptides, monga vancomycin, teicoplanin kapena linezolid, amagwiritsidwa ntchito masiku 7 mpaka 10 kapena malinga ndi upangiri wa zamankhwala.