Klebsiella kwi umchamo: unyango lwesifo

Klebsiella usulelo - sesinye sezifo kwemininzi eqhelekileyo ukuba umfanekiso obanzi lwezonyango ukusuka uneempawu eziphakathi ukuya ekubonakalisweni nokulimala. Silwanyana fanele ezifanele olo didi olungenelelayo, oko kukuthi, abo banako ukuphila inwebu yangaphakathi, ngaphandle ebangela kuphuhliso ngezifo.

Klebsiella kwi umchamo, endleni okanye kwezinye iincindi zomzimba yinto diagnostic ebalulekileyo efuna uviwo olupheleleyo kunye nokuzimisela iirejimeni zonyango.

Luhlobo luni ephilayo?

Klebsiella - ummeli enterobacteria, nto leyo eyinxalenye microflora nesiqephu emathunjini abantu. It has ezi mpawu zilandelayo:

• Gram-negative bacilli;
• ngamagama amancinane;
• enibanyulileyo;
• Kuyinto enye, ngababini okanye ngohlobo kwekhonkco;
• anaerobe (iphindaphindeke ingekho ioksijini, kodwa ubomi, ukuba zikhona);
• It unalo ikhono anyityiliselwe ukuze akhuphele iimeko ezingalunganga.

Xa uhlobo umahluko yinyumoniya klebsiellu, Klebsiella oksitoku, wand-Frisch Volkovich, wand eAbhele-Lavenberga, Klebsiella Terrigenous, Klebsiella plantikolu. Amaninzi, xa ngokoyiswa eziphilayo ababandakanyekayo iintlobo zokuqala ezimbini iintsholongwane.

Ezibangela isifo

Umntu onesifo uba umthombo ukunwenwa kwesi sifo. Le ngezifo nga ha kombisa iinkqubo njengoko miphungeni arhabaxa. Kulo mzekelo, iibhaktheriya ufake eziphilayo abosulelekileyo kunye nomoya ukurhogele xa ethetha, ukukhohlela, nangokuthimla. indlela ilindle-yomlomo isulelo uphawu Ngeentlobo zophendlo lwezifo abangena kwisiqwenga zesisu. Oku kwenzeka ngokusebenzisa ngezandla ezingahlanjwanga, ukutya.

Umngcipheko sifo olwandileyo maqela alandelayo:

• abantwana ukususela ekuzalweni neentsana iintsana;
• abantu abadala;
• Izigulane ezimbi ezingapheliyo;
• Izigulane linembali abohlukeneyo;
• unengxaki yokusela esinganyangekiyo, likhoboka iziyobisi.

Klebsiella inokuba ixesha elide emva nokudla uhlobo ekhuselekileyo. Kodwa kukho ezinye yokuxhokonxa izinto ezibangela Incedisa iintsholongwane zikwimeko zophendlo lwezifo kukukhula esebenzayo phinda:

• amaqondo aphantsi ukhuseleko omzimba (HIV, prematurity, buthathaka umzimba emva sisifo esosulelayo);
• ezingcolileyo kunye nokuhlukunyezwa kwemigangatho zempilo - ngezandla ezingahlanjwanga, dander yezilwanyana, kunye nobisi lwebele nokuba kunokubangela ukuba Klebsiella ibonakele umchamo;
• ukusetyenziswa elide antibiotics;
• amagciwane ngokuphefumla;
• isifo systemic (umz, diabetes);
• mikhwa (iziyobisi, utywala).

pneumonia

Kuxhomekeka find the silwanyana kukho amanxeba yeenkqubo ezahlukeneyo: nokuphefumla, genitourinary, ukujikeleza kwegazi, iphecana zesisu, impumlo kunye iphecana eliphezulu zemiphunga. Izigulane ekuphazamisa Ukunyuka kwamaqondo obushushu, ubuthathaka, ukubila, zemvula. Kuyabonakala ukhohlokhohlo ezomileyo, nto leyo kamva uba manzi kunye ubukho sizizifanya kwi ukumpompoza kwegazi kunye ubomvu. Isikhohlela ivumba ukubola, ukuphelelwa umoya nokuba baphumle. On X-ray lingene ezibonakalayo ubungakanani ezahlukeneyo, esenokuba eyodwa okanye idibane nenye. Yokunqongophala konyango kwangexesha kukhokelela gabalala losulelo kunye nokubandakanyeka zeminye imibutho (kwengqondo, isibindi, izintso).

Oko kubonakala Klebsiella. Inyumoniya kwi ungakwazi umchamo ukubonwa ukungena yalo egazini ukuze amalungu kwenkqubo enzala.

Rinoskleroma kunye ngokoyiswa iphecana eliphezulu zemiphunga

ngenwebu yangaphakathi kuvela granulomas, ezo iintsholongwane zendawo. Isigulane ikhalazela of kwingxinano rhoqo, nto leyo ayisuseki iziyobisi vasoconstrictor. zibonakala soma ngeempumlo, ikhala uselenuka owophayo ngexesha ukususwa.

Kamva isifo atrophies, loo mntu uyayeka ukuba abone amavumba ngokwaneleyo. A imali encinane yencindi viscous shinyi apho kunzima ukuba ihambe. Sikhatshwe uza iqhuma emqaleni, tickling, libya-grade fever.

usuleleko zesisu

Isifo amaninzi kubangelwa iintlobo ezimbini iinkuni ezimbini: Klebsiella inyumoniya kunye oksitokoy. Kuxhomekeka apho zifumaneka khona iintsholongwane, ukuze aphuhlise gastritis, enterocolitis, enteritis. Isigulane sifumana ezi mpawu zilandelayo losuleleko:

• esiswini, nantlungu;
• ezikwenza heartburn;
• isicaphucaphu nokugabha;
• ukungabi namdla;
• yobuthathaka;
• umkhuhlane omkhulu;
• ilindle rhoqo Ulwelo enemizila ngegazi, yencindi, amabala eluhlaza uye nevumba ebolileyo.

Klebsiella oxytoca kwi umchamo, kwakunye neentsholongwane pneumonia, kumiselwa phezu imvelaphi ukufukuka okanye ukuwa usulelo indlela hematogenous. Oku okufana ezisanda kuzalwa kunye nabantwana, kunye nabantu abadala, ngenxa yezizathu zempilo Aninakumkhonza ngokwabo.

Ekubulaleni yenkqubo genitourinary

Klebsiella kwi umchamo yomntwana okanye omdala uyakwazi ukuthetha usulelo engundoqo womchamo kunye nenkqubo zokuzala. Isifo kunokwenzeka njengoko pyelonephritis etsolo okanye engapheliyo, Ngokuzimela, nangokurhala prostatic. obubonakala kwezonyango zokugula akukho neyodwa ezahlukeneyo, ngoko, zifuna umahluko uphethwe echanekileyo.

Kuba klebsielleznogo Ngokuzimela lubonakala:

• echama ebuhlungu rhoqo;
• ukurhawuzelelwa umlilo;
• umchamo uba dropwise turbid eyabelwe, kunokuba elimsulwa igazi;
• fever eliphantsi-grade;
• isicaphucaphu;
• Klebsiella kwi umchamo, efunyaniswa ngeendlela bacteriological.

Pyelonephritis uboniswa ngolu hlobo lulandelayo:

• umkhuhlane;
• nokuqaqamba intlungu kummandla empontshwa;
• dysuria kuhambisane ngesisa;
• iimpawu dyspeptic isicaphucaphu nokugabha;
• imiqondiso kunxilwe;
• Klebsiella kwi umchamo, nto leyo kumiselwa iindlela bacteriological.

Iimpawu prostatitis:

• dysuria;
• evakalelwa ukuba esinyini sihlala ngokupheleleyo;
• intlungu nasemiphakathweni nesisu;
• ukuphazamiseka umsebenzi ngokwesondo;
• uvalo, ukudandatheka;
• Klebsiella kwi umchamo ubonwe izifundo bacteriological.

Iimpawu abosulelwe ukhulelwe

Usulelo abakhulelwe esiqwini wemiphunga kunokuba neziphumo ezibi kakhulu ndingekazalwa, ekubeni iintsholongwane babe impahla yokutshata lingene endaweni ngakumbi kwizicwili. Loo inkqubo ukucutha ubuninzi ioksijini inikezelwa kungekuphela unina kodwa umntwana.

Njani na ngayo Klebsiella? Inyumoniya kwi umchamo ngexesha lokukhulelwa ifuna ukusetyenziswa-ntsholongwane, yaye nisaqala lophuhliso osandul igcwele Iziphene zokuzalwa zofuzo. Ukwenzela ukunciphisa ingozi ezingaqhelekanga ezinjalo, abasetyhini abakhulelweyo ezi antibiotics ezimiselweyo endaweni bacteriophages. Baya nazo nxamnye Klebsiella, kodwa ngaphantsi kwakubuhlungu umzimba wosana olo.

Usulelo ezisanda kuzalwa kunye nabantwana

Esi sifo uphawu iintsana ngaphambi kwexesha kuba iimpawu sisilonda esidumbileyoesingaphakathi kwenkqubo luvo kunye nenkqubo dystrophy. Gram-HIV bacilli zingachaphazela naliphi na iqumrhu ukuya kuphuhliso yityhefu kwegazi. Ngokuchasene imvelaphi kuzalwa enamandla zinetyhefu ezingadala ukuya ku-0.5 kg ubunzima esezantsi njalo zingaphelanga iintsuku 2-3 ukususela ekuqaleni kwesi sifo. Isikhumba iba mpunga ngemiqondiso acrocyanosis. Ufumana ikliniki ilandelayo:

• zesifo;
• umkhuhlane omkhulu;
• disorder hemodynamic;
• umonakalo imisipha intliziyo;
• asidi.

Klebsiella kwi umchamo kwiintsana kunye kuzalwa ukuze babonakale ngenxa hematogenous yakhe hit okanye inyuka nge amalungu wokuchama yahlangana ngendle.

Iindlela zokumisela Umchamo Klebsiella

Ezi ndlela zilandelayo diagnostic:

• Microscopy - izinto lisetyenziswa kwi petri dish, olwenziwe Igram bala.
• indlela bacteriological - zokufunda bahlwayelweyo kuwo umhlaba ochumileyo nokuvavanya intsebenzo lokukhula abe nenkani.
• indlela serological - ukufumanisa ubukho kunye nenqanaba antibodies kwi serum ze isigulane arhente causative zesi sifo.
• Common uvavanyo lwezonyango coprogram, iindlela nendima.

Iimpawu therapy

Klebsiella kwi umchamo, unyango ekufuneka ibe ngexesha kwaye ebanzi, ifuna ukuqeshwa kwanonyango imbangela, pathogenetic kunye posindromalnoy. ezibonisa Ukukhanya sifo ukuvumela unyango kwezigulane, kodwa kwezinye iimeko ezifuna esibhedlele kwisibhedlele yewadi sisifo esosulelayo.

Kuba unyango kwezigulane kusetyenziswa:

• Probiotics - iziyobisi, ukunciphisa ukusebenza microflora eziqhelekileyo. Abameli - "Bifiform", "Lactobacterin", "Bifikol", "Linex". Thatha iintsuku 10-14.
• Bacteriophages zingasetyenziswa kwasekuzalweni. Idosi ichanekile ukhethe ugqirha ngokuxhomekeke kubudala yesigulane.

Lo mgaqo yale irejimeni yonyango ezisetyenzisiweyo nokuba Klebsiella emiselwe nomchamo ngexesha lokukhulelwa.

Abantwana de ufikisa, yaye abantu babe uhlobo kakhulu zesi sifo, kufuneka ukuba ube esibhedlele esisinyanzelo. Kwiimeko ezinjalo ezilawulwa arhente antibacterial kunye nomphetho agents definition ubukhali iziyobisi. Kuxhomekeka qela lobudala ezipapashiweyo ezi antibiotics zilandelayo:

• penicillins - "Ampicillin", "Ampioks";
• aminoglycosides - "streptomycin", "monomitsin";
• cephalosporins - "cefotaxime" "Ceftriaxone";
• tetracyclines - "tetraolean" "Tetracycline";
• fluoroquinolones - "ciprofloxacin", "Ofloxacin".

therapy Pathogenetic ifuna ukusetyenziswa umkhuhlane, detoxification iziyobisi, kwakunye nemali emzimbeni. Yingcali unakho ukumisela i amachiza antiemetic kwaye expectorant, namakhambi. Isitofu sokugonya ongekaphuhliswa kuthintelo losuleleko ne Klebsiella. amanyathelo azizithintelo yimfundo ecocekileyo abantwana, ukuqinisa amajoni omzimba kunye nonyango ngexesha nakujoliso olutsha esingapheliyo zokugula emzimbeni.