Pseudomonas aeruginosa matenda. Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Kwa moyo wanga wonse wamkulu, munthu aliyense padziko lapansili ndi anaukira ndi zosiyanasiyana mavairasi, mabakiteriya. Alendo ena woopsawo amasiya zingapo zotsatira zoipa ndi mavuto amene amakhalapo okalamba. Aliyense tizilomboto ali ndi udindo, ntchito iwo amadziwika munjira zosiyanasiyana, ndi moyenera, mankhwala enieni munthu aliyense payekha.

Mu yochizira matenda, analemba zambiri za matenda oopsa, zimene munthu wamba n'komwe. Zina mwa matenda Pseudomonas chifukwa cha thupi asporogenous Wand mtundu wa Pseudomonas aeruginosa. Izi mabakiteriya motile, angathe processing magwero mpweya mu chilengedwe.

Mbali yaikulu ndiyakuti kukhalabe ntchito m'pofunika sikutanthauza zakudya zapadera, izo mwangwiro ndinazolowera ndi zimafalitsidwa mu sing'anga ndi anasiya organic. Kodi alipo ngakhale mu disinfectants ndi kukhala mu madzi mwachizolowezi otchezedwa.

Cholinga chachikulu cha buku ano ndi oyamba mwatsatanetsatane katundu matenda-AIDS cha bakiteriya ichi, mtima wa mankhwala opha tizilombo. Ife tikuonetserani chimene oopsa matenda nosocomial, zomwe zikukhudza kudwala, ndi kuphunzira za njira zochizira.

mbali

Official Science 140 kudziwika mitundu mabakiteriya galamu-zoipa subspecies ndi. M'dera chachikulu cha malo awo - chilengedwe. Tizilomboto wakonda dothi lonyowa, madzi ndi moyo mkati zomera mu kapepala m'mimba mwa nyama ndi ngakhale anthu. Bakiteriya Pseudomonas aeruginosa akule bwino pa kutentha kwa madigiri 37 mpaka 42, ndi kuchulukana kukula mwachangu kwambiri.

Tizilomboto n'loopsa anthu, kugonjetsedwa ndi wothandizila kwambiri antibacterial ndi antimicrobial. Dziwani kuti 10% ya anthu athanzi, mabakiteriya a pa khungu m'dera groin, pafupi makutu, mphuno, pakhosi ndi mucous mu zikuchokera microflora matumbo.

Science zikusonyeza kuti ngozi ya matenda oopsa aliko, ngati chiwerengero cha P. aeruginosa Opyola malire kololeka. The atengeke kwambiri aakulu njira pathological wa anthu ndi matenda aakulu, wofooka chitetezo. Tizilomboto aigwire aerosol, chakudya, m'banja kukhudzana unsembe. Malinga ndi kafukufuku, nthawi zambiri matenda amapezeka mu chipatala mwa zipangizo zachipatala, yaiwisi zipangizo, njira, antiseptics, endoscopes.

Posachedwapa, nosocomial (nosocomial) Matenda (HAI) ndi zogwirizana kwambiri mu dziko. Kwambiri atengeke iwo ana aang'ono, okalamba, odwala ndi reactivity ofooka m'thupi. Kuchepetsa chiopsezo cha matenda kulenga njira yatsopano nzeru matenda ndi achire, zida malangizo kuzindikira mitundu ya matenda.

Kuti mudziwe zambiri zokhudza matenda kuchipatala anapeza

The World Health Organization walengezedwa Alamu pa chiwerengero cha milandu odwala amene anakhala m'chipatala pamalowo dokotala. matenda Nosocomial, kuphatikizapo Pseudomonas aeruginosa, - vuto lalikulu kwa dera lonse lonse, nthawi zambiri entailing imfa. Ichi ndi chifukwa maofesi osauka ukhondo mankhwala, zipangizo, pamaso pa matenda chobisika ogwira ntchito zaumoyo. matenda Pseudomonas ndi wapezeka mu ziwalo mkati, mu ong'ambika ndipo zamafinya zinangoti mabala, komanso mabala ang'ono, kapepala kakuti kupuma, kapepala kakuti matumbo. Malinga ndi kutanthauzira kwa tizilomboto ndi kuonetsa zizindikiro khalidwe.

zizindikiro lililonse

Tizilomboto zingakhudze zimakhala zambiri ndi ziwalo, ndi nthawi yaitali sanali yokha apereke, kuchititsa kuwonongeka ndithu thanzi. Pseudomonas aeruginosa amachititsa mavuto aakulu: sepsis, gangrenous ecthyma, necrosis, kakhosi, ndi zina zotero. Ngati zingamvekere zizindikiro dongosolo mkodzo yodziwika ndi ululu lakuthwa pa Ndikudzikhuthula kwa chikhodzodzo, kupweteka pamimba, yoyaka zotengeka. odwala ambiri zawo anadziika okha diagnoses ndi kumwa mankhwala mosatonthozeka.

oopsa kwambiri kudziwika anthu mabakiteriya kapepala kakuti matumbo. Amachititsa Chotupa chija, enteritis, matenda a m'matumbo. Kupezeka kuledzera, ululu, mkhutu chopondapo, kusanza. Poizoni opangidwa ndi tizilombo toyambitsa matenda kuwononga ziwiya bwanji maselo chiwindi ndi imfayo hemolysis maselo magazi (RBCs). E. coli Pseudomonas mu gawo zapamwamba ndi pafupifupi sangakhoze anachiritsidwa ndipo kuopseza moyo.

Kodi isanafalikire tizilomboto ndi chimene chimachititsa?

Ozama mu chamoyo, Pseudomonas aeruginosa amachititsa kubuka matenda opatsirana ndi yotupa ndi mkodzo, m'mimba, kupuma ndi machitidwe m'mapapo mwanga. Polimbana ndi mavuto aakulu ziwalo ENT. Anapezeka ndi Pseudomonas aeruginosa m'khutu, kuchititsa purulent otitis ndi magazi. Infection angayambe rhinitis, aakulu sinusitis, adenoiditis, chibayo ndi chifuwa.

Koma adani a kachitidwe mkodzo kukhala urethritis, cystitis, pyelonephritis. Burns, zilonda, zamafinya zinangoti mabala bakiteriya amakwiya chitukuko cha abscess ndi sepsis. Gulu chiopsezo zikuphatikizapo mtima chigonere amene analephera kusonyeza kuisamalira. Chifukwa cha immobilization yaitali analenga kulira zilonda - chipata Pseudomonas aeruginosa. Pali pathologies amene amayambitsa Pseudomonas aeruginosa. mankhwala awo zovuta ndipo amafuna ulamuliro pazipita pa mbali ya dotoloyo.

Pseudomonas aeruginosa amapezeka anthu ndi matenda a "chibayo pachimake". Infection zingachititse endocarditis, CNS kudwala ndi dongosolo minofu ndi mafupa. Nthawi zina bakiteriya m'dera amakhala oopsa bacteremia (matenda a chamoyo wonse), zimene zinachitikira kuti madokotala ananena zawo ndi zomvetsa chisoni. Izo ziyenera kuti limagwirira wa mavuto aakulu Bacillus kumachitika mu magawo awiri; olanda ndi toxigenic.

Pseudomonas aeruginosa mwana: mmene oopsa?

World Pediatrics nkhawa pa zikamera matenda nosocomial ali aang'ono. Iwo ali omumvera makamaka ana ndi kulemera otsika kubadwa, msanga ndipo anafooka. Pali umboni wa kufa (11%). The kutanthauzira kwa tizilomboto nthawi zambiri okuta matumbo thirakiti, kapepala kakuti kupuma ndi ENT-ziwalo. Pa nkhani iliyonse amafuna munthu zovuta mankhwala. Ndithu mwana anatumiza ku dipatimenti opatsirana.

The matenda chithunzi ana

Nthawi zonse odwala ndi chibayo, amene amakwiya ndi galamu alibe bakiteriya a mtundu Pseudomonas pafupipafupi olembedwa. Symptomatology kutchulidwa malungo, yotopetsa chifuwa ndi phlegm viscous ndi zambiri. Pakatha tsiku limodzi, mafinya, kufupika kwa mpweya ndi mpweya njala.

Pa X-ray chithunzi limasonyeza kusintha kwakukulu mu mapapo. Pamafunika chithandizo mwamsanga. No zochepa koopsa pamene Pseudomonas aeruginosa mwana limalowera mu kapepala kakuti m'mimba. Pali aakulu kusanza, kutsekula m'mimba ndi mamina ndi mafinya ululu pamimba.

Pakhala kuswa wa matumbo microflora, omangana, chisoni ndi kugunda, mwanayo mwamsanga wotaya m'matangadza madzi, kuopseza madzi m'thupi. The matenda kumaonekera ana akuvutika enaake fibrosis (enaake fibrosis) - matenda otengera kwa makolo. Against maziko a kudwala izi ndi zoteteza chitetezo saposa wothandizila ena, ndiponso mankhwala sakuthandiza kwenikweni, chifukwa cha bakiteriya ili m'kati ndi liwiro mphezi, pang'onopang'ono kupha zamoyo.

miyeso matenda

Pseudomonas matenda ndi kuyendera masomphenya ndi anamnesis ambiri si kumatanthauza. sowings Bacteriological kwenikweni anatengedwa kudziwa timitengo (mafinya ntchofu, mkodzo, magazi), ndipo anachita kafukufuku serological. oteteza wapezeka exciter zimapangitsa zigoli zomaliza amusankha ndipo anaika zotsatira mankhwala m'Baibulo. matenda Cultural sikovuta, ndipo anapanga mu nthawi yaifupi zotheka.

Pseudomonas matenda: mmene angakhalire ndi kudwala?

Ngakhale zaka 20 zapitazo, mabakiteriya sanapereke mankhwala imfa zachitika kambirimbiri kuposa m'zaka 21. Science utakwaniritsa bwino polimbana ndi matenda obisika. Asayansi anatulukira mphamvu wothandizila antibacterial kutsekereza tizilombo toyambitsa matenda. Njirazi ndi monga:

- fluoroquinolones;

- carbapenems;

- ureidopenitsilliny;

- monobactams.

Mwatsoka, mtundu wa tizilombo mabakiteriya mutates akufotokozera kukana ngakhale kuti ndi mankhwala bwino antimicrobial. Kwathunthu kuchotsa matenda ndi kupewa kusuta, izo m'pofunika kuyamba chithandizo pa siteji oyambirira a matenda. Chithandizo cha nthawi yaitali (osachepera masabata awiri), Pseudomonas aeruginosa. Maantibayotiki amaikidwa pambuyo kudutsa mayesero chofunika komanso kutsimikizira matenda. Only dokotala Mzimuyo zimene mankhwala ali oyenera pa nkhani zosiyanasiyana.

Kawirikawiri anatuma sitepe (alternating) chithandizo ndi mankhwala m'nsinga, intramuscularly ndiye. Mu zotupa a dongosolo mkodzo ali kwenikweni ntchito instillation (catheter ndi mankhwala mu chikhodzodzo). Ngati matenda zakhudza nembanemba mucous ndi khungu, ndi mapaketi superimposed, lotions, gauze bandeji, anapanga rinsing jekeseni.

Ngati ndi kotheka, ndi excision opaleshoni minofu necrotic, monga anasonyeza ndi bedsores. Mbali yaikulu ya mankhwala ndi kulimbikitsa chitetezo cha mthupi. Best kwambiri filtrate fagolizata mabakiteriya asatayike anati bacteriophage Pseudomonas aeruginosa. Lamakono antibacterial njira mabasi inu maselo tizilombo. Oyenera chithandizo malo onse. Ndi ntchito rectally, pakamwa ndi timitu. Kumawonjezera immunoglobulin kaphatikizidwe, relieves matenda komanso zimathandiza kuchira. Pambuyo njira zonse za mankhwala ndi kuwonongedwa kwa chithunzi matenda mu pafupi masiku khumi, m'pofunika kuti adzathe tione kudziwa causative wothandizira. Ngati kubzala adzasonyezanso anachita zabwino, anaika mankhwala atsopano.

njira zina

Chithandizo cha Pseudomonas aeruginosa matenda ndi zothandiza kuphatikiza ndi Zobwezeretsa, probiotic ndi mwanjira azitsamba, koma moyang'aniridwa ndi okhwima dokotala. Makamaka mlingo wa mavitamini ndi mchere zovuta, umalimbana kulimbitsa chitetezo cha m'thupi. M'nthawi ya mankhwala ndikofunikira kusunga chakudya chamagulu mosandiikako chakudya zoipa, mafuta. menyu ayenera kukhala kuwala, wolemera mu mapuloteni, masamba atsopano ndi zipatso.

Njira njira ndiyotani pakuchotsa matenda

Popanda malangizo ndi malangizo a akatswiri ndi loopsa kwambiri kuti mankhwala mankhwala ena. Sizikudziwika wotani anachita iwo amayambitsa vuto lanu. Ife kwambiri amalangiza kuti pachiswe thanzi lawo. Akatswiri ena amakhulupirira ndi homeopaths mankhwala zigawo zikuluzikulu mankhwala mu zovuta ndi. Ngati inu kukwaniritsa zofunika zonse ndi kutsatira malangizo a ogwira ntchito zaumoyo, inu mukhoza kunena tiwonana ndi matenda a "Pseudomonas aeruginosa".

Folk azitsamba monga horsetail, Aspen masamba, mafuta tiyi mtengo, chamomile, amathandiza kuthetsa kutupa ndi kuchepetsa matenda. Kutsimikiziridwa lokha mankhwala njuchi - phula, ndi antibacterial, antiseptic katundu. Iwo kalekale mwa zinandipangitsa decoctions, tinctures, mafuta ntchito apakhungu. Ife kufotokoza maphikidwe angapo otchuka.

• Mulingo ofanana kuti brew masamba a horsetail (kapena plantain) ndi Aspen kuwira madzi. Kumwa 30 ga tsiku (supuni awiri) musanadye, mu mawonekedwe chabe sitimadzipereka (ndi tiyi kapena madzi). Mukhoza muzimutsuka pakhosi, kusamba kunja m'njira za m'mphuno. mankhwala zoweta ali antimicrobial, odana ndi yotupa ndi detoxification kwenikweni.
• Folk ochiritsa amalangiza ntchito mankhwala achilengedwe ochizira matenda osiyanasiyana. Zikuphatikizapo tiyi mtengo mafuta, amene chogulitsidwa maukonde mankhwala. M'pofunika kulumikiza dontho la madzi ndi supuni mchere wa mafuta. Imwani tsiku lililonse ndi madzi.
• Pa supuni ya Viburnum zipatso kutenga makapu awiri a madzi otentha. Adzapatsa pafupifupi ola mpaka njira adzakhala zimalimbikitsa mtundu. Ankadya 100 ml kanayi pa tsiku. A msuzi ofanana anapangidwa kuchokera anauka m'chiuno. Kumva thermos ndi kumwa monga tiyi.
• Tikuchita kulowetsedwa mankhwala asanu odana infective zouma kapena mwatsopano maluwa Calendula ndi 250 ml ya madzi otentha. The osakaniza unathandizira pa ola limodzi. Yankho utakhazikika kuwonjezera amsupuni lalikulu la mowa phula tincture. Tengani katatu pa tsiku kwa magalamu 50. Kuphatikiza zigawo ziwiri mankhwala chomera yotithandiza m'thupi njira Tizilombo mavuto aakulu pa tizilomboto tizilombo kubweza kukula ndi chitukuko. Komanso, decoction wa mankhwala ochititsa ndi akusonyeza kanthu fungicidal.

Kumbukirani kuti njira zina ndi mnzake womuyenerera kwa mankhwala, ndipo sangalepheretse matenda paokha. Iwo okha cholinga kulimbikitsa chitetezo cha m'thupi ndi kuchepetsa kutupa. M'pofunika kumvetsa ndi kudziwa za contraindications zitsamba anthu ndi zomera zimene akutenga.

pa kupewa

Pseudomonas aeruginosa (matenda) sizachilendo mu chilengedwe ndi akhoza yolowera mu ziwalo anthu, kuchititsa mavuto aakulu. Kukhala otetezeka, muyenera kutsatira malamulo mumtima, kusunga ukhondo pulayimale. Mwachidule kukatenga mabakiteriya chilengedwe kuchipatala osati munthu wina. Ngati mukukayikira kuti gwero la matenda ayenera kubzala onse a m'banja kukhala mu nyumba yomweyo.

Pulayimale ndi zapulaimale kupewa ndi kulamulira thanzi, ndipo makamaka chitetezo cha m'thupi. Kupereka thupi lanu ndi chakudya chamagulu yaiwisi, nthawi zonse muzisamba m'manja bwinobwino ndi madzi sopo pambuyo maluwa, kuyenda. Ntchito nsalu yonyowa pa msewu, pamene mukufuna pogulitsira zakudya.

Pofuna nthumwi causative wa wosamalira zaumoyo ayenera kuwunika ukhondo wa manja, malo ndi zida. Pansi yolera yotseketsa chofunika endotracheal timachubu, catheters ankachitira ndi njira yapadera. Kuthetsa matenda miphika otentha ndi maiwe kusambira kuti nthawi zonse kuwunika mlingo wa index wa hydrogen madzi (7.2-7.8) ndi ambiri mankhwala mankhwala enaake (70.5 mg / l).

magwero onse opezeka cha kudetsedwa bakiteriya mu zipatala ayenera yomweyo lidzawonongedwa. Odwala ndi zizindikiro Muzisamala ayenera mwamsanga ayesedwa ndi kuikidwa mu chipatala matenda opatsirana pofuna kupewa kufalikira kwa matenda. Choncho akhoza kuchepetsa milandu kachilombo ndi kusintha mankhwala molondola.

ZOWAWA chiyani?

Kulosera tsogolo la matenda zimadalira pamaso pa njira concomitant pathologic. Zotsatira Therapy adzakhala abwino kugwiritsa ntchito zingapo antimicrobials kanthu lonse. matenda Pseudomonas chimawononga zimakhudza ntchito zofunika kwambiri, makamaka thupi la mwana. Nthawi zina, mankhwala yaitali kuwonongedwa kwa mawonetseredwe yaikulu nthawi zina za nthawi, zizindikiro mwina anawathetsa akuyambiranso kapena kuvutika kachiwiri mu maziko a pathologies alipo.

Zizindikiro okayikira ndi kuwonongeka kwa boma ambiri thanzi si waulesi kwambiri kuti anayesedwa osachepera pochitika kusanthula amuzolengedwa magazi ndi mkodzo. Ngati zotsatira sukukhulupirira, kufunsa akatswiri ambiri vuto olakwika. Perekani thanzi pazipita wanu tcheru, ndimamvetsera kuti zizindikiro anatumiza mwa thupi.

Aliyense matenda ali ndi makhalidwe amene makamaka zimachitika pa siteji pachimake, ndiyeno kuchepa. Amadziwika kuti maonekedwe zobisika zikusonyeza kuti kudwala wadutsa mu mawonekedwe aakulu. Pankhaniyi, mankhwala kudzakhala kovuta, kutenga nthawi yambiri ndi khama. Sindigonja, kumenyana ndi matenda, anazungulira nokha ndi zabwino mtima, kuchotsa maganizo ndi wozingwa. Njira thanzi labwino mwa kupewa. Kukumbukira zimenezi ndipo simukhala odwala!