Kodi chikhalidwe cha mkodzo ndi antibiotic ndi chiyani, chimachitika bwanji komanso ndichani

Zamkati

• Kodi cholinga cha chikhalidwe cha mkodzo ndi antibiogram ndi chiyani
• Momwe mungamvetsere zotsatira
• Uroculture wokhala ndi ma antibiotic a Escherichia coli
• Momwe zimachitikira

Uroculture ndi antibiogram ndi kuyezetsa labotolo komwe dokotala amafunsira kuti akwaniritse tizilombo toyambitsa matenda tomwe timayambitsa matenda amkodzo komanso mbiri yake yokhudzidwa ndi kukana maantibayotiki omwe amagwiritsidwa ntchito pochiza matendawa. Chifukwa chake, kuchokera pazotsatira za mayeso, adotolo amatha kuwonetsa mankhwala oyenera kwambiri kwa munthuyo.

Kuchita kwa mayesowa kumawonetsedwa nthawi zambiri munthuyo akakhala ndi zisonyezo za matenda amkodzo, komabe atha kupemphedwanso akawunika mkodzo wamtundu wa I, EAS, mabakiteriya ndi ma leukocyte ambiri mumkodzo, chifukwa kusintha kumeneku Zikuonetsa matenda kwamikodzo, ndikofunika kudziwa tizilombo udindo.

Kodi cholinga cha chikhalidwe cha mkodzo ndi antibiogram ndi chiyani

Chiyeso cha chikhalidwe cha mkodzo ndi antibiogram chimathandiza kuzindikira tizilombo toyambitsa matenda omwe amachititsa kusintha kwamkodzo komanso mankhwala omwe angagwiritsidwe ntchito moyenera pankhondo yake.

Kuyesaku kumawonetsedwa makamaka ngati mutakhala ndi matenda amkodzo, ndipo mutha kuyitanitsa pambuyo pa mayeso amtundu wa mkodzo 1, EAS, kapena munthuyo atakhala ndi zizindikilo za matenda amkodzo, monga kupweteka ndi kuwotcha mukakodza komanso kulakalaka pafupipafupi kukhala ndi Pee. Dziwani momwe mungadziwire zisonyezo za matenda amkodzo.

Kuyesaku kumathandizira kuzindikira kupezeka ndi mbiri yakumverera kwa maantibayotiki a tizilombo tina, makamaka:

• Escherichia coli;
• Klebsiella pneumoniae;
• Kandida sp.;
• Proteus mirabilis;
• Pseudomonas spp.;
• Staphylococcus saprophyticus;
• Streptococcus agalactiae;
• Enterococcus faecalis;
• Serratia marcenses;
• Morganella morganii;
• Acinetobacter baumannii.

Kuzindikiritsa tizilombo tina tating'onoting'ono tomwe titha kukhala tokhudzana ndi matenda amkodzo, monga Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma spp. ndipo Gardnerella vaginalisMwachitsanzo, nthawi zambiri sizimachitika kudzera mu chikhalidwe cha mkodzo, momwemo zimapemphedwa kuti atole chinsinsi cha nyini kapena penile kuti tizilombo toyambitsa matenda tidziwike ndi antibiotic, kapena kuwunika mkodzo kudzera munjira zamagulu.

Momwe mungamvetsere zotsatira

Zotsatira za chikhalidwe cha mkodzo ndi ma antibiotic zimaperekedwa mwa mawonekedwe a lipoti, momwe zimasonyezedwera ngati kuyezetsa kuli koyipa kapena koyenera ndipo, munthawi izi, komwe tizilombo timapezeka, kuchuluka kwake mkodzo ndi maantibayotiki omwe zinali zovuta komanso zosagonjetsedwa.

Zotsatira zake zimawerengedwa kuti sizabwino pomwe pali kukula kwakanthawi m'zinthu zazing'ono zomwe mwachilengedwe zimakhala gawo la kwamikodzo. Komano, zotsatira zake zimakhala zabwino pakakhala kuchuluka kwa tizilombo tina tonse tomwe tili m'gulu la tizilombo tating'onoting'ono tomwe timakhalapo kapena kupezeka kwa tizilombo tachilendo tikatsimikizira.

Ponena za antibiotic, kuwonjezera pakudziwitsa ngati tizilombo toyambitsa matenda ndi tcheru kapena sagonjetsedwa ndi maantibayotiki, zikuwonetsanso kuchepa kwa zoletsa, zomwe zimatchedwanso CMI kapena MIC, zomwe zimafanana ndi kuchepa kwa maantibayotiki omwe amatha kulepheretsa kukula kwa tizilombo tating'onoting'ono, pokhala chidziwitso chofunikira kwambiri kwa dokotala kuti awonetse chithandizo choyenera kwambiri.

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Uroculture wokhala ndi ma antibiotic a Escherichia coli

THE Escherichia coli, yemwenso amadziwika kuti E. coli, ndi bakiteriya omwe nthawi zambiri amagwirizanitsidwa ndi matenda amkodzo. Chikhalidwe cha mkodzo chikakhala chabwino kwa bakiteriya, kuchuluka komwe kumawonetsedwa mumkodzo, womwe umakhala pamwambapa kuposa 100,000, kumawonetsedwa mu lipotilo, komanso maantibayotiki omwe ali ovuta, kukhala Phosphomycin, Nitrofurantoin, Amoxicillin wokhala ndi Clavulonate, Norfloxacino kapena Ciprofloxacino.

Kuphatikiza apo, MIC ikuwonetsedwa, yomwe ikakhala ya Escherichia coliMwachitsanzo, kwadziwika kuti MIC ya Ampicillin yochepera kapena yofanana ndi 8 µg / mL ikuwonetsa kuti atha kutenga maantibayotiki, ndipo kugwiritsa ntchito kwake mankhwala kumalimbikitsidwa, pomwe malingaliro ofanana kapena opitilira 32 µg / mL onetsani kuti mabakiteriya ndi olimba.

Chifukwa chake, malinga ndi zotsatira zopezeka mchikhalidwe cha mkodzo komanso ma antibiotic, adotolo amatha kuwonetsa chithandizo chokwanira cha matendawa.

Momwe zimachitikira

Kuyesa kwachikhalidwe cha mkodzo ndi mayeso osavuta omwe amachitika kuchokera pachitsanzo cha mkodzo, chomwe chimayenera kusonkhanitsidwa ndikusungidwa mu chidebe choyenera choperekedwa ndi labotale. Kuti mutolere, muyenera kuyeretsa malo oyandikana ndi sopo ndi madzi ndikusonkhanitsa mkodzo woyamba tsikulo, ndipo munthuyo ayenera kunyalanyaza mkodzo woyamba ndikutenga mtsinje wapakatikati.

Ndikofunikira kuti nyemboyi iperekedwe ku labotore pasanathe maola awiri kuti ikhale yothandiza pachikhalidwe cha mkodzo ndi ma antibiotic. Mu labotale, chitsanzocho chimayikidwa mchikhalidwe chomwe chimalimbikitsa kukula kwa tizilombo tomwe timapezeka mkodzo. Pambuyo pa 24h mpaka 48h, ndizotheka kutsimikizira kukula kwa tizilombo tating'onoting'ono, motero, ndizotheka kuyesa mayeso ozindikiritsa tizilombo tating'onoting'ono.

Kuphatikiza apo, kuyambira pomwe kuwonjezeka kwa tizilombo tating'onoting'ono kukuwonedwa, ndizotheka kuwunika kuchuluka kwa tizilombo tating'onoting'ono, ndipo titha kuwonetsa kuti ndikoloni kapena matenda, kuphatikiza pakupanga antibiotic , momwe tizilombo timayeserera ngati tili ndi maantibayotiki osiyanasiyana, kuwunika ngati maantibayotiki ndi osamva kapena osamva mankhwala. Mvetsetsani zambiri za mankhwalawa.