Klebsiella m'matumbo: zizindikiro, chithandizo

Mmodzi zikuluzikulu za nkhani matumbo anthu ndi bakiteriya Klebsiella. Akutchula microflora wake yachibadwa. Koma ndi chifooke mabakiteriya chitetezo chokwanira amayamba kuchulukana. Akhoza kudwala kupuma, dongosolo mkodzo, thirakiti m'mimba.

mafotokozedwe

Klebsiella bakiteriya mu m'matumbo - ndi ndodo woboola pakati bakiteriya. matabwa ake ndi ofanana ndi Enterobacter ndi Serratia. Kusiyanitsa iwo kudzera mwa mayesero apadera. Komanso Klebsiella mabakiteriya amakhala n'kupuma. Padziko izo abwino chikhalidwe TV , amakhala madera lalikulu. Ndipo ena tizilomboto ofanana ndi mafoni mokwanira. Tsopano madokotala secrete ta oposa 80 Klebsiella, iwo amadziŵika zochokera antigens capsular.

tizilombo enawa ngati ndodo 0.6-6 microns m'litali ndi malekezero anamaliza. Iwo anakonza awiriawiri, unyolo yochepa kapena payekhapayekha. Pa pamwamba oyenerera outgrowths ulusi, kudzera zomwe lokhazikika.

mabakiteriya ngozi

Klebsiella ntchito njiru m'matumbo wayamba kukhala yekha ndi chifooke mphamvu zoteteza za chamoyo. Iye ayamba mwachangu zikupitiriza ndi hule zikamera njira zosiyanasiyana yotupa. Ngakhale zingachititse sepsis. Mu nkhani iyi, kufa kwa wodwala.

The bakiteriya zingakhudze osati ziwalo zosiyanasiyana, komanso zaka mucous, mafupa. Komanso ingawononge akalowa ubongo.

Bakiteriya chikupitiriza kwa nthawi yaitali mu chilengedwe. Klebsiellu kudziwa zotheka m'nthaka, zimbudzi ndi madzi wamba. Bakiteriya kugonjetsedwa ndi mantha ikukhudzana cheza ultraviolet, disinfectants. Komanso, si kanthu kwa mankhwala ambiri.

amachititsa mavuto

Ndi kuchepetsa dongosolo Klebsiella m'thupi mu matumbo akuluakulu ndi ana amayamba kugwira ntchito. Limagwirira a HIV ake ndi fecal-m'kamwa, ndi waukulu njira - kukhudzana-banja chakudya. Ndi njira woyamba wa matenda ndi khalidwe kwa mabungwe zachipatala. Ndi apo m'manja mwa ogwira anakumana ndi odwala, zida ndi zipangizo zosiyanasiyana chithandizo, akhoza opatsirana tizilomboto. Childs, amayamba mu thupi kudzera manja akuda.

Chakudya njira ikukhudza kuthekera kwa matenda kudzera zakudya zosaphika bwino. Choncho, gwero la matenda akhale zauve zipatso, nyama, mkaka.

Klebsiella mu matumbo makanda angayambe chulukanani chifukwa matenda m'chipatala nthawi ya atasiya kuyamwa. Ana ambiri atengeke matenda bakiteriya izi. Nthawi zambiri amakhudza ana azionera wofooka. Kubuka matenda zina zimachitika mayunitsi ndi neonatal, nyenyeswa msanga. Musalekane pa yekha ndi mwana kuwatsitsimula, opaleshoni ndipo Urological dipatimenti.

zotupa

Atangomva Klebsiella bakiteriya wolowera thirakiti kupuma thirakiti mkodzo kapena m'mimba mwa thupi, iwo amayamba mapangidwe cholinga yotupa. Mu ndondomekoyi chitukuko, zimathandiza kuti poizoni wa tochoka ndi tizilombo.

Mwachitsanzo, ngati matenda chakudya anati imfa misa mabakiteriya, pamene pali kutchulidwa goksinemiya. Ngati Klebsiella adamulowetsa mu matumbo a mwana, ndiye akhoza kukhala chinthu bacteremia. Izi zingachitike foci yachiwiri ya matenda: chibayo, pyelonephritis, purulent meninjaitisi. Sitingathe kukusalani chitukuko cha sepsis.

M'mapapo kuwonongeka zimakhala matenda pulayimale ndi sekondale. The ndondomeko yotupa angatengere mbali ndi pleura Nthawi zina taonera kukha mwazi ndi necrotic foci.

Odwala ena kukhala matenda yaikulu kapena yachiwiri ya thirakiti mkodzo ndi impso. Ndi kugonjetsedwa kwa mundawo m'mimba angathe edema, kuwonjezera kotunga magazi matumbo yaikuluikulu. Klebsiella mu matumbo zingachititse erosions ndi magazi.

Zizindikiro za mavuto matumbo

Madokotala azindikira kuti bakiteriya pa nthawi matenda makulitsidwe ndi mokwanira yaing'ono. Iwo ukhoza kwa maola angapo kwa masiku 2. Komabe, pamene njira kukhudzana-banja la matenda lidakali kwa masiku 3-6.

Mukayamba kuchulukitsa mosatonthozeka Klebsiella mu matumbo, zizindikiro akuluakulu ofanana ndi amene zimachitika ana. nthendayo imatchedwa enterocolitis kapena enteritis. Umayamba ndithu zikuchepa. Woyamba kutentha kwambiri limatuluka (mtengo akhoza kukhala mkulu monga madigiri 40), akuyamba kutsegula m'mimba, zikuoneka cramping ululu m'mimba, amene yodziwika ndi mwamphamvu yapamwamba. mawonetseredwe onse kukula mofulumira. Phula chimbudzi, nthawi zambiri ntchofu, magazi-streaked, fungo fetid. Zimakhala 5 mpaka kangapo makumi patsiku.

Nthawi zina, enterocolitis cholemba yellowness wa khungu, kukulitsa chiwindi. Ana, nthendayo ndi kobvuta ndi chitukuko cha chibayo, sepsis, pyelonephritis, purulent meninjaitisi. Pangozi kuti ana azionera nyenyeswa amene thanzi ndi kuonongedwa ndi matenda pafupipafupi.

Klebsielleznaya matenda a ziwalo zina

Nthawi zina, bakiteriya wosalowera mu matumbo, mapapo kapena impso. Choncho, zingayambitse chibayo. Matendawa amayamba ndi malungo, kutentha kukwera kwa madigiri 41. Pakuti yodziwika ndi ululu pachifuwa, kufooka, kufupika kwa mpweya, chifuwa. Malungo ndi matenda klebsielleznoy ukhoza pafupifupi 10 masiku. Matenda yodziwika ndi maonekedwe a sputum. Iye viscous, nthawi zambiri yamawangamawanga wamagazi, ndi fungo la moto thupi. Kawirikawiri matenda ndi zovuta ndi mantha opatsirana mankhwala, pleurisy, kakhosi, abscesses mu mapapo.

Koma osati mu intestine m'mapapo Klebsiella amachititsa njira pathological. Akhoza kudwala impso ndi kapepala mkodzo onse. Iwo yodziwika ndi matenda mkulu malungo, kufooka ambiri, zizindikiro choopsa cha kuledzera, kupweteka kwa msana m'munsi ndi pamimba. Mitundu aakulu matenda zimachitika amayi apakati ndi akazi mowakakamiza. Iwo akhozanso kukopeka ndi chitukuko cha endotoxin mantha, chifukwa mimba.

sepsis

Ziribe kanthu komwe iwo wayamba kawetedwe mabakiteriya sangathe kukusalani kuthekera nkhani koipa. Ndipotu, monga vuto la chilichonse cha matenda angayambe sepsis. Zizindikiro khalidwe ndi imfa ya chikumbumtima ndipo malungo. zake zikhoza kukhala mkati 38,5-41 ⁰ C. Kuwonjezera pa mbali khalidwe la matenda akufotokozera syndrome hemorrhagic. Zinaoneka nuchoka chifukwa cha kutayikira mtsempha wa malire. Iwo akhoza kukhala pa pharyngeal mucosa, conjunctiva. Komanso amakhudza chapakati mantha dongosolo, pali zizindikiro meningeal, khunyu. Mu zowombetsa mkota mawonekedwe a matenda a amafa ndi 70%.

matenda a matenda

Molondola kudziwa vuto ndi zifukwa zomwe zinatipangitsa izo, zofunika zasayansi mayesero. Yoganizira adzasala ndowe, mkodzo, sputum, malingana ndi mtundu wanji wa matenda chinayamba. Mayeso zinthu imatumizidwa bacterioscopy. Ankagwiritsanso mayesero serological, iwo akhoza ankakonda kukhala kuchuluka kwa tizilomboto lapansi. Mbali yofunika kwambiri kuphunzira ndi kudziwa kudziwa wothandizila zosiyanasiyana antibacterial.

matenda chithandizo

Monga ulamuliro, akapezeka klebsiella mu intestine ndi, mankhwala ikuchitika kuchipatala. Ikani odwala kuchipatala, zochokera matenda ndi zolondola matenda a khalidwe kale mu malo.

Chithandizo cha mitundu sing'anga ndi choopsa cha matenda ndi zosatheka popanda kugwiritsa ntchito mankhwala antibacterial. Anatumizidwa njira zambiri monga "Gentamycin", "Tobramycin", "ceftriaxone" "Cefuroxime", "Cefotaxime". M'njira choopsa cha matenda kungakhale osakaniza mankhwala ntchito wothandizila angapo antibacterial.

Ngati Klebsiella anapezeka mu intestine, iwo akuganiza kuti ntchito kwambiri mulingo woyenera wa mankhwala m'kamwa. Koma n'zothekanso kuti mtsempha awo, mu mnofu, kapena kukapanda kuleka.

Komanso kutumikiridwa pakamwa regidroterapiya. Iwo akhoza kuchitika kudzera njira kulowetsedwa kapena extracorporeal, mwachitsanzo plasmapheresis. ntchito zida monga "Immunal" kuonjezera kukana thupi, "Pentoxyl". Zikavuta, wolungamitsidwa ntchito magazi athunthu kapena plasma mbadwa.

Nkofunika kuti odwala kumwa probiotics kapena bacteriophages. Formulations a magulu awa ndi kukonzanso microflora yachibadwa mu intestine ndi ziletsa kukula za tizilombo toyambitsa matenda.