: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Momwe mungadziwire matendawa mwa S. khungu
• Momwe matendawa amapangidwira
• Ndi chiyani S. khungu kugonjetsedwa
• Momwe mankhwalawa amachitikira

O Staphylococcus epidermidis, kapena S. khungu, ndi bakiteriya yemwe amakhala ndi gramu yemwe amapezeka pakhungu, osavulaza thupi. Tizilombo toyambitsa matenda timatengedwa ngati mwayi, chifukwa timatha kuyambitsa matenda chitetezo cha mthupi chitatha, mwachitsanzo.

Chifukwa zimapezeka mthupi, Staphylococcus epidermidis sichimaganiziridwa kwambiri pazochitika zamankhwala, popeza nthawi zambiri zimasungidwa mu labotore zimatanthawuza kuipitsidwa kwa chitsanzocho. Komabe, tizilombo toyambitsa matenda timatha kukula mosavuta muzipangizo zamankhwala, kuphatikiza pakudziwika kuti ndikulimbana ndi maantibayotiki osiyanasiyana, zomwe zimapangitsa kuti zikhale zovuta kuchiza matendawa.

Momwe mungadziwire matendawa mwa S. khungu

Mtundu waukulu wa matenda ndi S. khungu ndi sepsis, yomwe imafanana ndi matenda m'magazi, popeza bakiteriya imatha kulowa mthupi mosavuta, makamaka ngati chitetezo chamthupi chimasokonekera, kuphatikiza pakuphatikizidwa ndi endocarditis. Chifukwa chake, matenda mwa S. khungu itha kuzindikirika pofufuza za zizindikilo, zazikuluzikulu ndizo:

• Kutentha thupi;
• Kutopa kwambiri;
• Mutu;
• Matenda ambiri;
• Kuchepetsa kuthamanga kwa magazi;
• Kupuma pang'ono kapena kupuma movutikira.

O S. khungu Nthawi zambiri imalumikizidwa ndi matenda mchipatala chifukwa chakutha kwake kulumikizana ndi zida zamagetsi, zilonda zazikulu ndi ma prostheses, mwachitsanzo, kutha kufalikira ndi kukana chithandizo.

Momwe matendawa amapangidwira

Mu labotale, kuzindikira kwa bakiteriya kumachitika kudzera m'mayeso, chachikulu ndicho mayeso a coagulase, omwe amasiyanitsa S. khungu ya Staphylococcus aureus. O S. khungu ilibe enzyme iyi, chifukwa chake, imati ndi coagulase negative, ndipo imadziwika kuti coagulase negative staphylococcus yofunika kwambiri pachipatala, chifukwa imagwirizanitsidwa ndi kuipitsidwa kwazitsanzo, matenda opatsa mwayi komanso kutengera zida zamankhwala.

Kuti mumusiyanitse ndi mitundu ina ya coagulase-negative staphylococci, mayeso a novobiocin nthawi zambiri amachitidwa, omwe amachitika ndi cholinga chowunika kukana kapena kuzindikira kwa mankhwalawa. O S. khungu nthawi zambiri imakhala yovuta kwa mankhwalawa, ndipo nthawi zambiri ndimankhwala omwe dokotala amamuwonetsa. Komabe, pali mitundu ya S. khungu omwe ali ndi njira yothana ndi maantibayotiki, zomwe zimapangitsa kuti mankhwala azivuta.

Nthawi zambiri kupezeka kwa S. khungu m'magazi sizitanthauza matenda, chifukwa popeza zili pakhungu, panthawi yosonkhanitsa magazi, mabakiteriya amatha kulowa m'magazi, akuwoneka ngati akuipitsa chitsanzocho nthawi zambiri. Chifukwa chake, kuzindikira kuti matenda ali ndi S. khungu zimachitika kuchokera pakusanthula zikhalidwe ziwiri kapena zingapo zamagazi, zomwe nthawi zambiri zimasonkhanitsidwa m'malo osiyanasiyana kuti mupewe zotsatira zabodza.

Chifukwa chake, kuzindikira kuti matenda ndi S. khungu zimatsimikizika pomwe zikhalidwe zonse zamagazi zili ndi chiyembekezo chazilombozi. Pomwe chikhalidwe chimodzi mwazi chimakhala chofunikira S. khungu ndipo enawo ali ndi kachilombo koyambitsa matenda ena a tizilombo tina, amaonedwa ngati akuipitsa.

Ndi chiyani S. khungu kugonjetsedwa

Nthawi zambiri kuipitsidwa kwa sampuli ndi S. khungu amatanthauziridwa molakwika ndi ma laboratories ndipo amawonetsedwa ngati matenda pazotsatira zoyeserera, zomwe zimapangitsa dokotala kuwonetsa kugwiritsa ntchito maantibayotiki motsutsana ndi "matenda". Kugwiritsa ntchito maantibayotiki mosayenera kumathandizira kupangika kwa mabakiteriya osagwirizana, ndikupangitsa mankhwala kukhala ovuta.

Pakadali pano, matenda mwa S. khungu akhala pafupipafupi odwala mchipatala ndipo, chifukwa chake, atenga zofunikira pakachipatala osati kokha chifukwa chogwiritsa ntchito maantibayotiki mosasamala, komanso kuthekera kwawo kupanga biofilm mu zida zamankhwala, zomwe zimathandizira kuchuluka kwa bakiteriya uyu komanso kukana chithandizo.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda mwa Staphylococcus epidermidis nthawi zambiri zimachitika pogwiritsa ntchito maantibayotiki, komabe, mankhwala opha tizilombo omwe amasankhidwa amasiyana malinga ndi mawonekedwe a bakiteriya, popeza ambiri ali ndi njira zolimbanira. Chifukwa chake, kugwiritsa ntchito Vancomycin ndi Rifampicin, mwachitsanzo, atha kulimbikitsidwa ndi adotolo.

Kuphatikiza apo, chithandizo cha S. khungu zimangotchulidwa pokhapokha ngati matendawa atsimikiziridwa. Ngati mukukayikira kuti chitsanzocho chidakhumudwitsidwa, zitsanzo zatsopano zimasonkhanitsidwa kuti ziwone ngati zadetsa kapena zikuyimira matenda.

Pankhani yokhudzana ndi ma catheters kapena ma prostheshes by S. khungu, nthawi zambiri amalimbikitsidwa kusintha makina azachipatala. Pakadali pano, zipatala zina zimagwiritsa ntchito zida zodzitetezera zomwe zimalepheretsa kupanga biofilm ndikukula kwa Staphylococcus epidermidis, kuteteza matenda.