Proteus bacterium yosulela womchamo

Le bacterium fanele intsapho Enterobacteriaceae. Phakathi kwezinye amalungu ale "intsapho" uhlobo Klebsiella kunye Escherichia, kunokubangela imiphumo emibi. Nangona zonke zontathu ezi ntlobo badla emzimbeni njengoko abemi eqhelekileyo lokugaya. Amaxesha amaninzi igciwane Proteus uhlala apho kukho inani labantu apho - ku eziguqulweyo kunye nasezibhedlele.

Ezibhedlela, eli gciwane uhlala phezu nesikhumba uxakaxa imifinya zombini izigulane kunye nabasebenzi. Nangona kunjalo, esi sifo abazifunelayo yakhe zenzeka azifane nesabelo yezigulo ezifunyanwa esibhedlele phakathi Proteus encinane. Ngokuqhelekileyo abantu bayahlupheka ukusuka okukwazi eziyingxaki (HIV okanye enye immunodeficiency), kwaye izigulane kufuneka isakhiwo okuthile womchamo okanye abo bafuna ukufaka i catheter kwi womchamo. Kwaba ngoko awathi igciwane Proteus kwaye ukuzibonakalisa.

Iintlobo Proteus mirabilis kubangela isifo ngakumbi. Yena ineenwele ezizodwa kuvumela ukuba iqhotyoshelwe iindonga iphecana endothelial wokuchama, yaye unamathele mangaza kwiiseli ze host eziphilayo. Amaxesha amaninzi nxamnye iintsholongwane ichukumisa apoptosis xa iiseli host ephilayo, nto leyo iindwendwe engafunwayo "mazigalelwe Susa" kunye exfoliate yeseli abafileyo le epithelium. Nangona kunjalo, le nkqubo ezimbi. Ukongeza, ngokuchaseneyo iintsholongwane uvelisa enzyme urease eyingozi, nto leyo eyandisa amathuba pyelonephritis kumaxesha amaninzi. Ngoko kokusesikweni non ubuhlungu kunye iingxaki ezinokubakho.

Xa igciwane engena egazini, akwabonisa i endotoxin (isiqwengana udonga iseli), nto leyo evusa impendulo enamandla arhabaxa. Kwezinye izigulane, oko kunokubangela nokudumba, nangona amathuba iphantsi kakhulu. Noko ke, amathuba systemic impendulo yokukrala kunokwenzeka, kwaye ukufa kunokuba 20-50% nkqu ngexesha lethu. Ngokuqhelekileyo, ezifana ithi kwenzeka izigulane abo esibhedlele ixesha elide yaye ngubani rhoqo kufuneka ukutshintsha catheter, oko kukuthi, iphecana wakhe wokuchama ubethwa trauma rhoqo.

Igciwane Proteus ialakalin umchamo, ukwandisa oko ammonia, lonto iyakuvelisa iimeko zivuma gciwane ngokwayo. Nangona kunjalo, oku kuphela isiqingatha ngxaki. Eyesibini kukuba ibangela ukuyilwa amatye ezingaqhelekanga - struvite. Kodwa ke ingxaki enkulu kakhulu kubantu abo, yaye ngoko kuyimfuneko ukuba ukuqalisa catheter ngokusisigxina. La matye iqanjwa phosphate ucombulule ngendlela asidi medium. Kodwa Proteus ixhasa bume obrak.

Abosulelwe ikakhulu abasetyhini, amathuba sifo phakathi kwabo ibekwe ngokusisigxina catheter, yi 10-15%, yokwanda kwalo usuleleko nosocomial kuluhlu - yesibini (emva pneumonia).

esinganyanga njani Proteus? Proteus mirabilis novelwano cephalosporins, nto leyo akunjalo Proteus vulgaris. Unyango kule meko ifuna ukusetyenziswa kwezinye nemithi, ezifana sulbactam kunye meropenem. Proteus vulgaris olubangele ngaphantsi oqhelekileyo izifo womchamo.

Ukuba umchamo ialakalin nomonde, kudityaniswe izikhalazo iintlungu, ngoko nangoko lubonisa ingcamango bohlaselo ugqirha Proteus. Kulo mzekelo, ikhosi yeeveki ezimbini-emiselweyo quinolones kunye gentamicin, Kakade ke, asizizo zonke izigulane kukunyamezela kakuhle yokugqibela, kodwa lusebenza kakhulu. Ngenxa ubhubhisa nje kuphela, kodwa ezinye kwamagciwane kunokwenzeka.

Emva ngonyango ukhathalelo esibhedlele kufuneka kuthathwe ukuba kancinci kangangoko ukuba kuyimfuneko ukwazisa catheter. Isigulana kufuneka bafumane amaninzi ulwelo ku ngokukhawuleza yaba yinkqubo inkululeko yomzimba ukususela ekusulelekeni. Proteus ndoyika yonke into ngokupheleleyo akukho kuyimfuneko, kuchaphazela asingabo bonke abazazi ngxaki, ukongeza ukuya esibhedlele kunye naye nzima, ngoko igciwane Proteus - gqirha onenkathalo, hayi nezihlobo yesigulana.