tizilombo toyambitsa matenda chifukwa matenda anthu ndi nyama. Iwo akhoza kukhala osiyana mawonekedwe, mtundu, virulence ndi kukana mankhwala. Mitundu yofala mabakiteriya - izo amakhala ndi cocci. Gulu loyamba zikuphatikizapo matumbo, Pseudomonas, chifuwa chachikulu tizilombo toyambitsa matenda. Cocci ndi mawonekedwe anamaliza, chingakhale cha nambala osiyanasiyana masango globular. Mwachitsanzo, nthumwi causative a chinzonono limapangidwa mbali 2. Staphylococci zigwirizana masango angapo maselo anamaliza ndi amafanana mu mawonekedwe gulu la mphesa. Iwo amadziwika kuti sayansi koma m'nthawi ya 19 pamene wina wa mabakiteriya ambiri. Ngati aureus galamu banga monga njira, iwo m'zimene chopaka, ndiye - ndi zabwino.
katundu staphylococci
Kuopsa mabakiteriya awa ndi luso lawo kukhala exotoxin - mankhwala, chifukwa chimene iwo kumasintha mmene tizilombo pathupi. Staphylococci 2 katundu zowononga:
- Kuyambitsa hemolysis - chifukwa luso limeneli magazi watha dongosolo mwake.
- Zimathandiza necrosis a zimakhala - chifukwa cha ichi aureus kanthu thupi zimakhala ongoyendayenda chilonda. Malo ndi kukula kwa zotupa zimadalira kafalitsidwe mabakiteriya m'thupi, mphamvu m'thupi, ndi kukhalapo kapena kusapezeka kwa njira achire.
mitundu ya staphylococci
Mabakiteriya a mtundu uwu ndi chiwerengero cha mitundu, amene ndi mbali yaing'ono chabe luso kufalitsa anthu. Malinga ndi zimene mtundu wa tizilomboto zimayambitsa matendawo, n'zotheka kuweruza za zizindikiro ndi mankhwalawa. Mitundu yofala staphylococci, amene tizilombo anthu, kuti: Staphylococcus epidermidis, aureus, saprophyticus, haemolyticus. Aliyense wa awa chimachititsa matenda osiyanasiyana. Komanso, zamoyo ndi owopsa kwa ena - pafupifupi vuto lililonse ndipo popanda mankhwala.
Matenda oyamba ndi staphylococci
The chizindikiro chachikulu cha yatsoka mu thupi matenda staphylococcal ndi purulent kutupa. Pankhaniyi, kuwonongeka angayambe chiwalo chilichonse cha thupi. Kutupa kutanthauzira zimadalira maonekedwe matenda a matenda, zimene kukhala yosiyanasiyana. Tizilomboto alowa m'thupi kudzera bala padziko khungu, ndi chitetezo chokwanira wofooka (matenda tizilombo). Staphylococci zambiri superimposed pa limatiphunzitsa matenda, potero akuchuluka chikhalidwe cha munthuyo. Pambuyo kukhudzana ndi tizilombo toyambitsa matenda m'magazi ndi wofooka mabakiteriya chitetezo chokwanira zovuta kuchiza (makamaka ana).
Staphylococcus epidermidis
The vuto lililonse kwambiri kwa anthu a mitundu yonse ya tizilombo toyambitsa matenda ndi epidermal staphylococcus. Staphylococcus epidermidis chikukhudza microflora tizilombo. Izi zikutanthauza kuti mabakiteriya akupezeka mu thupi nthawi zonse, ngakhale sitili pa matenda. Staphylococcus epidermidis moyo pa khungu, kukhala enieni - pamwamba pa bedi awo. Komanso, wothandizila angapezeke pa nembanemba mucous mkamwa, mphuno ndi makutu awo. Mofanana ndi mabakiteriya onse makonzedwe tizilombo Staphylococcus amachititsa zotupa mu uziyenda yachibadwa ya thupi. Koma ngati pali zakusokonenezedwa Mwachitsanzo, zilonda za pakhungu, totupa zosiyanasiyana, kutupa kwa nembanemba mucous wa kapepalako kupuma Staphylococcus epidermidis akuyamba kuchulukitsa mofulumira ndi ntchito ngati matenda a sekondale. Kuwonjezera zinthu izi, tizilomboto kumatheka chifukwa kuchepa kwambiri chitetezo cha m'thupi, zomwe zimawonedwa pa matenda yaitali aakulu, nkhawa, chimfine, immunodeficiency limati.
Normal ndi nthenda tochepa bakiteriya
Pafupifupi anthu onse pano mu mbewu Staphylococcus epidermidis, anatengedwa ndi khungu kapena nembanemba mucous. Komabe, si kuchuluka onse kuposa phindu yachibadwa. Ichi ndi chifukwa kukhalapo kapena kusapezeka kwa matenda chifukwa cha Staphylococcus epidermidis. Pa zomwe zimakwana zimapezeka inoculation bakiteriya zimatengera, kapena chifukwa cha matenda ndi Staphylococcus epidermidis. Normal tizilomboto mu mbewu ndi 5 kuti 10 madigiri. Ngati kuchuluka ndi kupitirira chithunzi ichi, m'pofunika kugwiritsa ntchito mankhwala etiological umalimbana kulimbana Staphylococcus epidermidis.
Matenda oyamba ndi Staphylococcus epidermidis
Mchikakamizo cha zinthu chowawa ndipo kuchepa chitetezo cha m'thupi osadziwika microflora akuyamba achulukane ndi kuyambitsa matenda osiyanasiyana m'thupi. Chifukwa chakuti Staphylococcus epidermidis amakhala khungu ndi mucous zimagwira ntchito zosiyanasiyana, ziwalo zambiri akhoza kuvutika ngati kulera. Pamene wakhala a catheters venous ndi mkodzo Staphylococcus epidermidis kudutsa mu ziwalo, kuchititsa mavuto oopsa. Zikuphatikizapo matenda monga endocarditis - kutupa mavavu mtima, kuphatikizapo yokumba. matenda Genitourinary chifukwa cha Staphylococcus epidermidis, kungakhale yosiyanasiyana, monga cystitis, pyelonephritis, vulvovaginitis, urethritis. Pamene m'mwamba kusalola tizilomboto kukhala matenda aakulu kwambiri, monga endometritis, prostatitis, interstitial nephritis, ndipo T. D. Pakuti kuvulala kwa mfundo zambiri agwiritsa endoprosthesis, mmene angapange akhoza kuyambitsa matenda a Staphylococcus epidermidis. Kufala owopsa a tizilomboto mu akhanda, chifukwa nthawi zambiri zimakhala zovuta ndi sepsis.
Staphylococcus epidermidis mimba
Pa mimba m'thupi la mayi kupita kukonzanso lonse, kumene kumakhudza ziwalo zonse ndi kachitidwe, kuphatikizapo chitetezo cha m'thupi. Chitetezo pa gestation mwana ali kwambiri yafupika, kotero kudetsedwa ndi tizilombo ndi owopsa. Ngati mkazi ali woyembekezera sagwiritsa ntchito mavitamini, supercooled, ongoyendayenda kupanikizika aakulu foci matenda, nyama salembedwa tizilombo, umene uli thupi lake wayamba kukhala adamulowetsa ndi kuyambitsa matenda osiyanasiyana. Kukhala pakati pa kufufuza (pakhosi swab, m'mphuno, ukazi) Staphylococcus epidermidis 10 * 3 kale akupanga gynecologist bwinobwino kuti pofuna kupewa mavuto zotheka.
Chithandizo cha matenda oyamba ndi Staphylococcus epidermidis
Ngakhale kuti Staphylococcus epidermidis ndi tizilombo salembedwa tizilombo ndi zambiri analipo anthu athanzi, kuchuluka mlingo wake akusonyeza pamaso pa matenda. Zizindikiro zimadalira kutanthauzira kwa Staphylococcus epidermidis matenda, mankhwalawa izi yeniyeni ziwalo zosiyanasiyana ndi kachitidwe. Komabe, m'zochitika zonse anatumizidwa mankhwala opha tizilombo umalimbana pomuphwanya mwachindunji causative wothandizila - Staphylococcus epidermidis. S. epidermidis zambiri kusamva mankhwala penicillin, mu Zikatero amachita mankhwala wamphamvu, fluoroquinolones gulu: rifampicin, vancomycin, etc. Komanso, kuikidwa ayenera kukhala wotsutsa-yotupa ndi immunomodulatory wothandizila ... Ndi matenda pafupipafupi zamoyo osiyanasiyana kupewa hypothermia ndi kulankhula ndi HIV odwala, nkhawa, kuwonongeka kwa khungu ndi nembanemba mucous. Ndi pachilonda pamalo muyenera kuzigwiritsa ntchito mosamala mayankho antiseptic ndi pitani kuchipatala.