Klebsiella ethunjini: iimpawu, unyango

Enye inxalenye okubhalwe wamathumbu lomntu a silwanyana Klebsiella. Yena ibhekisa microflora yakhe yesiqhelo. Kodwa buthathaka iintsholongwane okukwazi uqalisa phinda. Obunokuluchaphazela ngayo, inkqubo yokuphefumla wokuchama, iphecana zesisu.

incazelo

Klebsiella bacterium ethunjini - i silwanyana intonga-ezimile. isakhiwo sayo uyafana Enterobacter kunye Serratia. Ukwahlula kuphela ngokusebenzisa iimvavanyo ezizodwa. Kwakhona amagciwane Klebsiella zidla zokubhala. Kuyo efanelekileyo ubuso inkcubeko eendaba , bahlala kumathanga ezinkulu. Kwaye ezinye iintsholongwane ezifana ziphatheka ngokwaneleyo. Ngoku amagqirha cell ukuba iintlobo ezingaphezu kwe-80 ka Klebsiella, ukuba ahluka ezisekelwe nezakhi capsular.

Ezi Cya kuvela kweentonga 0.6-6 microns ubude kunye eziphelweni ajikelezayo. Bona amalungiselelo ngababini, amatyathanga ezimfutshane okanye ngabanye. Kumphezulu wazo luhle outgrowths Imicu, nge apho ezisisigxina.

bacteria ingozi

Klebsiella umsebenzi eyingozi ethunjini uqala ukuphuhlisa kuphela buthathaka imikhosi ibakhusela eziphilayo. Uqala ukwanda ngamandla kwaye ivule ukuvela kweenkqubo ezahlukeneyo arhabaxa. Loo nto ingenza nokudumba. Kulo mzekelo, ukufa umguli kunokwenzeka.

Le silwanyana nga asichaphazeli kuphela amalungu ezahlukeneyo, kodwa iminyaka uxakaxa, amalungu. Kwakhona konakalise ingaphakathi ingqondo.

Igciwane sithatha ixesha elide kwi-bume. Klebsiellu Ukubona kunokwenzeka kumhlaba, ilindle kunye namanzi eziqhelekileyo. Igciwane iyamelana umothuko thermal, imitha yelanga, izibulali. Kwakhona, oko akukho isenzo imithi emininzi.

kubangela iingxaki

Ngokunciphisa Klebsiella omzimba emathunjini abadala kunye nabantwana aqale ukuba isebenze. Indlela of nangokusulela kwayo yi gciwane-orali, kwaye eyona ndlela - qhagamshelana-nendlu kunye nokutya. Kwaye indlela yokuqala yosulelo kuba luphawu amaziko zonyango. Kukho ezandleni abasebenzi obekudibene nezigulana, izixhobo kunye nezinto ezahlukeneyo ukhathalelo, enokusasazwa gciwane. Ngokuqhelekileyo, le ntsholongwane ukungena emzimbeni ngezandla ezimdaka.

indlela Ukutya kubandakanya ithuba kusulelo ukutya ekrwada ngokufanelekileyo. Ngoko ke, umthombo usulelo libe iziqhamo elimdaka, inyama, ubisi.

Klebsiella emathunjini kwiintsana angaqala ukwanda ngenxa zokugula esibhedlele ngexesha ebeleni. Abantwana kakhulu ukulimala usulelo yile igciwane. Amaninzi kuchaphazela iintsana ngaphambi kwexesha buthathaka. Uqhambuko lwezifo maxa wambi kwenzeka iiyunithi lweentsana, imvuthuluka ngaphambi kwexesha. Musa kuwa phantsi ngaphandle nomntwana ngokumphefumlela, isebe ngotyando kunye yomchamo.

izilonda

Kamsinya nje igciwane Klebsiella ungena iphecana yokuphefumla, womchamo okanye zesisu emzimbeni womntu, oko uqala ukuyilwa ukujoliswa arhabaxa. Kule nkqubo yophuhliso, negalelo buthi secreted amagciwane.

Umzekelo, ukuba kukho usulelo ukutya waphawula ukufa abaninzi iintsholongwane, lo gama kukho goksinemiya ngokukhawuleza. Ukuba Klebsiella yasebenza ethunjini umntwana, ngoko na ukuba imzisele bacteremia. Oku kwenzeka nakujoliso olutsha zasesekondari losuleleko: pneumonia, pyelonephritis, ubovu meningitis. Asinako ngaphandle uphuhliso nokudumba.

Lung umonakalo kungaba zombini usuleleko eziziprayimari nezizisekondari. Inkqubo yokukrala ukuze babandakanyeke kwaye pleura nazo ngamanye amaxesha lathi legazi nakujoliso olutsha necrotic.

Ezinye izigulane kuba usulelo lokuqala okanye sesekondari womchamo kunye nezintso. Emva kokoyiswa wokugaya inokuphuhlisa nokudumba, ukwandisa igazi ubonelelo amathumbu ezinkulu nezincinane. Klebsiella emathunjini kunokubangela erosions kunye hemorrhages.

Iimpawu iingxaki namathumbu

Oogqirha bazi ukuba igciwane phezu ixesha usulelo bafukanywe mncinane ngokwaneleyo. Zinokuhlala iiyure eziliqela ukuya kwiintsuku ezi-2. Noko ke, xa qhagamshelana-nendlu indlela losulelo ngayo bulukwe iintsuku 3-6.

Ukuba aqale ukuphindaphindeka engalawulekiyo Klebsiella emathunjini, iimpawu abadala ziyafana nezo zenzeka ebantwaneni. Isifo kuthiwa enterocolitis okanye enteritis. Iqala kakhulu kabukhali. Iqondo lobushushu sokuqala linokunyuswa kakhulu (ixabiso singayakufikelela phezulu izidanga 40) luqala ilindle evakalala, kubonakala cramping iintlungu esiswini, ezo ebonakala ngogxininiso eliphezulu. Zonke izinto ezikhulayo ngokukhawuleza. ilindle alulwelo, kaninzi ngenxa yencindi, igazi-enemizila, ivumba enukayo. Kusenokuba ukusuka-5 ukuya eziliqela amaxesha amashumi ngosuku.

Kwezinye iimeko, enterocolitis note yellowness ulusu, wawandisa isibindi. Ebantwaneni, esi sifo nzima kuphuhliso yinyumoniya, nokudumba, pyelonephritis, ubovu meningitis. Abasengozini iintsana ngaphambi kwexesha nezo nemiqhathane impilo phantsi zizifo rhoqo.

Klebsielleznaya usulelo zeminye imibutho

Kwezinye iimeko, igciwane akungeni kungena amathumbu, kwaye imiphunga okanye izintso. Ngoko ke, oko kungabangela inyumoniya. Isifo siqala nangecesina, iqondo lobushushu ukuze kwavusa degrees 41. Kuba kwakhona luphawulwa iintlungu esifubeni, ukutyhafa, ukuphelelwa umoya, ukhohlokhohlo. Fever nosulelo klebsielleznoy ingahlala malunga 10 iintsuku. Isifo luphawulwa ukubonakala isikhohlela. Yena viscous, ngokufuthi kunye amabala liliphalaza igazi elimsulwa, kunye nevumba wokutshisa inyama. Ngokufuthi sifo nzima ukothuka esosulelayo-ezingenabungozi, unepleurisy, meningitis, amathumba emiphungeni.

Kodwa hayi kuphela emathunjini kunye nemiphunga Klebsiella kubangela iinkqubo zophendlo lwezifo. Kungangena izintso womchamo bonke. It ebonakala sisifo aphezulu fever, ubuthathaka jikelele, iimpawu kakhulu kunxilwe, iintlungu ezisezantsi emva nesisu. Ezi ntlobo kakhulu losulelo kwenzeka abasetyhini abakhulelweyo kunye namabhinqa njengozalayo. Basenokuba sikhatshwe uphuhliso endotoxin othukile, ukuba isisu.

nokudumba

Akukho mba apho uqalisa ezizalana iintsholongwane, akakwazi ukuvala amathuba imeko embi. Kakade ke, njengoko kwingxaki nasiphi na izifo aqale nokudumba. Iimpawu uphawu kukho ilahleko sezingqondweni kunye nomkhuhlane. amaxabiso ayo abe phakathi 38,5-41 ⁰ C. Ukongeza iimpawu uphawu esi sifo iphuhlisa ukopha syndrome. Xa kwabonakala nokulimala ngenxa ukuvuza yegazi iimpahla emdeni. Basenokuba phezu pharyngeal isifo, conjunctiva. Kwakhona kuchaphazela inkqubo luvo, kukho iimpawu meningeal, ukuxhuzula. Xa uhlobo nolahlo ngokubanzi sifo izinga lokusweleka 70%.

lokufunyaniswa kwesifo

Ukuze ukugqiba ngokuchanileyo le ngxaki kunye nezizathu elibangele, iimvavanyo kuyimfuneko elebhu. Kuba ukuhlaziya na endleni, umchamo, isikhohlela, ngokuxhomekeke kuhlobo sifo waqalisa ukuba. Nezinto eziza kusetyenziswa kuvavanyo ithunyelwa bacterioscopy. Kwakhona wenza iimvavanyo ze-serological, ukuba ungasetyenziswa ukubeka isixa lwe gciwane. Izakhi ebalulekileyo phando ukufumanisa uvakalelo arhente ezahlukeneyo antibacterial.

unyango losuleleko

Ngokuqhelekileyo, xa wafumana klebsiella kwi ethunjini, unyango oluqhutywa esibhedlele. Beka esibhedlele izigulane, Based on zekliniki oluchanileyo ekufumaniseni yokuziphatha sele zilungile.

Unyango Iifom eliphakathi silula isifo akunakwenzeka ngaphandle ukusetyenziswa kweziyobisi antibacterial. Eyabelwe iindlela ngokuqhelekileyo ezifana "Gentamycin", "Tobramycin", "ceftriaxone" "Cefuroxime", "Cefotaxime". Xa iintlobo kakhulu zesi sifo inokuba unyango kunye elwa ezininzi.

Ukuba Klebsiella eyafumanekayo emathunjini, loo nto ithathwa ukusetyenziswa kakhulu ngokupheleleyo amayeza ngomlomo. Kodwa kusenokwenzeka ukuba efakwa zabo, intramuscular, okanye uvuza.

Kwakhona ezilawulwa ngomlomo regidroterapiya. Oko kwenziwe nge ukumnika okanye extracorporeal ubuchule, umz plasmapheresis. ukusebenzisa izixhobo ezifana "Immunal" ukwandisa ukuxhathisa komzimba, "Pentoxyl". Kwiimeko kakhulu, sigwetyelwe ukusetyenziswa kwegazi elipheleleyo okanye iplasma lweenkobe.

Kubalulekile ukuba izigulane basela probiotics okanye bacteriophages. Imixube kula maqela bayakwazi ukubuyisela microflora abaqhelekileyo kwi emathunjini kwaye zinqanda ukukhula ezincinane izifo.