Enterococci mu kuipitsa mbiri ya munthu. Tiyenera mantha?

Kupirira ndi kukana ... Good khalidwe. Ngati ife sindikuyankhula za tizilombo toyambitsa matenda. Ndipo anali enterococci oterewa, ndipo salola kuti asangalale pa nkhondo ndi iwo. Mdani ali nthawi zina povuta kuti akunde. Koma - mwina kudziwa mudzapeza m'nkhani ino.

Kodi enterococci mu kuipitsa mbiri ya munthu? kusanthula limasonyeza unyolo, amene ati tizilombo toyambitsa matenda amenewa. Iwo wapezeka ndi zina kubala michere, ndipo ngati chitetezo wapezeka m'magazi mwawo.

A osiyana mutu madokotala - kuti enterococcus "moyo" mu zipatala ndi apo amakhala Mipikisano kugonjetsedwa ndi mankhwala osiyanasiyana, zomwe zimachititsa polimbana izo kukhala zovuta. Ndipotu, enterococci kuti anakwanitsa atengere pafupifupi mitundu yonse ya mankhwala Pamlingo wamkulu kapena wamng'ono. mankhwala atsopano (linezolid, mwachitsanzo) mpaka iwo akhoza kuthana ndi enterococci, koma nthawi zina m'magazini zachipatala pali nkhani kulimbikira kwa tizilombo toyambitsa matenda amenewa kwa mankhwala atsopano. Choncho tikupitirizabe kumenya nkhondoyi. Chabwino, thupi, ndipo amatha kulimbana bwinobwino, ndipo mankhwala awa ali wabwino dokotala amachitira monga adjuvant ndi.

Kodi mu thupi kuthetsa tizilombo toyambitsa matenda? Nthawi zambiri enterococci wapezeka mu mkodzo. Komabe, zingakhudze mkati chipolopolo mtima, zilonda iwo matenda, mabakiteriya kuthetsa padziko catheter, amene anayambitsa kuti wodwala matenda. Nthawi zina tizilombo toyambitsa matenda awa kudutsa mu M'mimbamo, ndi kuchulukitsa mu magazi (otchedwa bacteremia). Zimachitika kuti mabakiteriya zinayambitsa meninjaitisi, malo pleural.

Enterococci nthawi zambiri tingoyimitsa kapepala kakuti m'mimba pasanabuke mawonetseredwe aliyense matenda a matenda. Komabe, muyenera kukhala ndondomeko lolamulidwa, chifukwa ambiri odwala amene anadwala chifukwa akhala ndi enterococci mu intestine awo isanayambike matenda. Choncho enterococci mu chopaka ku rectum - chifukwa kuyamba kuchitapo kanthu.

Makamaka yoopsa imeneyi matenda odwala amene amadwala kwambiri ndi yaitali (makamaka amene ali ndi maphunziro yaitali antibayotiki), odziwa opaleshoni kuti kuziika ziwalo ndi odwala matenda oncological magazi. Ndi zoopsa kwambiri enterococci kwa zachipatala. Angathe kutenga amene kumwa corticosteroids ndi kulandira zakudya parenteral.

Komabe, ngati si m'matumbo, koma m'njira khomo lachiberekero, si owopsa ngati mabakiteriya sanapeze. Enterococci mu mankhwala kuipitsa mbiri kumaphatikizapo osavuta, ngati dokotala amakhulupirira kuti wodwalayo amafunika chithandizo pa zonse. Monga ulamuliro, enterococci mu nyini - gawo la zomera zachilendo, kotero musati mantha nkhawa.

Enterococci mu kuipitsa mbiri ya munthu ndi owopsa okha ngati swab linatengedwa ku mkodzo ndi. Komanso, zinthu zoipa, ngati tizilombo toyambitsa matenda amenewa akupezeka magazi, izo lingatanthauze kuti iwo afalitsa thupi lonse. kawirikawiri, koma iwo akali opezeka madzimadzi cerebrospinal, koma zambiri zimachitika pa maziko oumitsa khosi (ndi mlandu infrequent). Azindikire enterococci ndi mafinya anatengedwa kuchokera zimakhala zofewa.

Matenda oterowo ankachitira ndi mankhwala atsopano (streptogramin, teicoplanin, oritavancin). Ambiri, chotero "lolemera zida zankhondo" angagwiritsidwe ntchito kokha pamene pamaso pa enterococci imatsimikizirika ndendende kumene iwo ndi owopsa (nyini ndi khomo pachibelekeropo si kuwerenga). A mbadwo watsopano wa mankhwala sangafanane ndi mavairasi, basi mu njira yotupa iwo Kwalamulidwa, zofunika zasayansi umboni enterococci.

Ngati mulibe amanyalanyaza ululu ndi kusapeza kapepala kakuti mkodzo, ndipo nthawi yomweyo dokotala anu, mukhoza kupewa zotsatirapo zoipazi matenda enterococcal monga endocarditis ndi meninjaitisi. Monga musaiwale za nokha, thupi lanu osayenera.