Usuleleko Pseudomonas. Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Ngokuba yonke yobomi bam mdala, umntu ngamnye kule planethi uhlaselwa ezahlukeneyo iintsholongwane, iintsholongwane. Ezinye iindwendwe eziyingozi ushiya ngasemva imiphumo ebuhlungu kunye nezigulo ukuba kwenzeka abadala. pathogen nganye indima, umsebenzi ezithe zafunyaniswa ngeendlela ezahlukeneyo, yaye, ngokunjalo, unyango engqamene ngabanye.

Xa yezonyango, wabhala ezininzi izifo eziyingozi, malunga apho umntu oqhelekileyo ayikho nokuwabona. Ezi ziquka usulelo Pseudomonas okubangelwa aerobic wand asporogenous uhlobo Pseudomonas aeruginosa. Le ntsholongwane motile, ekwaziyo phambili imithombo carbon kokusingqongileyo.

Eyona iphambili kukuba ukugcina imisebenzi ebalulekileyo akudingi izondlo ezizodwa, ukuba naphaya ngokugqibeleleyo kwaye ezityalwe kwixesha eliphakathi kunye ukungabikho ngokupheleleyo into ephilayo. Ngaba ikhona naxa ntsholongwane kunye nokuphuhlisa kwi ulwelo yesiqhelo enkolo.

Eyona njongo ephambili yolu papasho namhlanje kukwazisa eneenkcukacha kwiipropati clinical-epidemiological yale bacterium, ukuzimisela unyango isibulala-zintsholongwane. Siza kukubonisa ukuba yintoni izifo eziyingozi nosocomial, ebandakanya i ngezifo, uze ufunde zonyango ezizezinye.

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Science esemthethweni 140 ezaziwayo iintlobo gram-HIV iintsholongwane ze ohlobo. Eyona ndawo kwendawo yazo - bume. Lwegciwane ithanda umhlaba ufumile, amanzi kunye abahlala ngaphakathi izityalo wokugaya izilwanyana kunye nabantu. Igciwane Pseudomonas aeruginosa zikhula kubushushu ukususela degrees 37 ukuya 42, yaye andise likhula ngenkuthalo ngokukhawuleza.

Lwegciwane kusongela abantu, ukumelana nxamnye ezininzi arhente antibacterial kunye elwa. Kubalulekile ukuqaphela ukuba ama-10% yabantu abanempilo, le ntsholongwane ifumaneka eluswini kwindawo nasemiphakathweni, kufuphi iindlebe, impumlo, emqaleni kwakunye nomkhwinya kuhlanganiselo microflora emathunjini.

Science kubonisa ukuba ingozi yesifo yingozi ukho, ukuba inani P. aeruginosa ngaphezulu imida avumelekile. Eyona basengozini kakhulu kwiinkqubo ngokuqatha zophendlo lwezifo abantu abanezifo ezingapheliyo, buthathaka omzimba. Le pathogen iphazanyiswe zetoti, ukutya, indlu-contact ngendlela. Ngokutsho manani, kaninzi usuleleko kwenzeka esibhedlele ngokusebenzisa izixhobo zonyango, ekrwada izixhobo, izisombululo, ebulala, endoscopes.

Kutshanje, nosocomial (nosocomial) usulelo (Hai) ezi kakhulu ngokuphathelele kweli hlabathi. Eyona sifo kubo abantwana abancinane, abadala, izigulane reactivity buthathaka omzimba. Ukunciphisa ingozi yosulelo ukwenza iindlela ezintsha zokuxilonga ngamayeza nokunyanga, izixhobo nezixhobo ukuchonga iindlela esi sifo.

Ukuze ufumane inkcazelo engakumbi malunga yezigulo ezifunyanwa esibhedlele

I-World Health Organization iye bahlabe umkhosi kwi inani lamatyala lezigulane owaqhubeka esibhedlele kwindawo yonyango. izifo Nosocomial, kuquka Pseudomonas aeruginosa, - ingxaki enkulu ukuze lonke uluntu jikelele, ngokufuthi esizakukhokelela yokufa. Oku kungenxa yokuba izibonelelo amahlwempu yococeko unyango, izixhobo, ubukho sisifo efihlakeleyo in abasebenzi bonakekelo lwezempilo. usulelo Pseudomonas ibanjiwe kwi enyama yangaphakathi, xa amanxeba izifeleyo neqwengiweyo, iyabhiqiza, kwakunye cuts ezincinane, iphecana sokuphefumla, iphecana emathunjini. Kuxhomekeka zalapha ekhaya kwabo pathogen ukubonisa iimpawu isici.

iimpawu eziphambili

Le pathogen zingachaphazela izicwili ezininzi kunye namalungu, kwaye ithuba elide xesha akazange ngokwayo akhuphe, ibangela umonakalo omkhulu kwimpilo. Pseudomonas aeruginosa kubangela iingxaki ezinzulu: nokudumba, ecthyma xuki, necrosis, meningitis, njalo-njalo. Ukuba ichaphazela iimpawu inkqubo wokuchama luphawulwa iintlungu ezibukhali ngexesha yokulahla lwesinye, iintlungu esiswini, a ukuzwa otshisayo. Izigulane ezininzi kufuneka ezawo ngokwabo zixilonga iziyobisi angalawuleki.

Kakhulu yingozi ekufunyanisweni yabantu iintsholongwane kwisiqwenga emathunjini. Yenza goiter, enteritis, sikabhobhosi. Imbonakalo ukunxila, iintlungu eziqatha, isitulo kakuhle, ukugabha, isicaphucaphu. Ityhefu eziveliswa leentsholongwane kutshabalalisa iimpahla kuchaphazela iiseli isibindi bandiqumbise hemolysis kwiiseli (aqoqiwe). E. coli Pseudomonas ngendlela eliphambili phantse asinyangeki kwaye isoyikiso ebomini.

Apho eyendayo pathogen yaye yintoni ebangela?

Zingene ephilayo, Pseudomonas aeruginosa ebangela nokuqhambuka kwezifo ezosulelayo kunye ukudumba ngu wokuchama, yokwetyisa, yokuphefumla kunye neenkqubo nezengekho miphungeni. Ndazi usenokungayibo- izitho ENT. Kwafunyaniswa ukuba Pseudomonas aeruginosa ibiselidubule, ebangela ubovu otitis ngegazi. Usulelo kunokwenzeka nokuthimliswa, sinusitis esinganyangekiyo, adenoiditis, inyumoniya kunye yomoya.

Kodwa kuthinjwe kweenkqubo wokuchama ukuphuhlisa urethritis, Ngokuzimela, pyelonephritis. Burns, izilonda, iyabhiqiza amanxeba bacterium kuphakamisa uphuhliso ithumba kunye nokudumba. Iqela risk iquka umguli ezibhedini abangazange anonophele efanelekileyo. Ngenxa immobilization elide akhiwe ukulila izilonda - isango Pseudomonas aeruginosa. Kukho inala ezimbi ezidala Pseudomonas aeruginosa. unyango lwabo kunzima kwaye ifuna ulawulo oluphezulu ngakwicala ugqirha.

Pseudomonas aeruginosa amaninzi zifumaneka kubantu unesifo "inyumoniya ebukhali". Usulelo kungabangela endocarditis, CNS ngezifo kunye nenkqubo musculoskeletal. Ngamanye amaxesha igciwane lendawo uba bacteremia esibulalayo (usulelo yonke ephilayo), apho ke abantu abane ukuba aphelelwe lithemba. Kufuneka wathi indlela iziphumo ekonakaleni inegciwane Kwenzeka ngezigaba ezimbini: ezonakalisayo kunye toxigenic.

Pseudomonas aeruginosa emntwaneni: uyingozi?

wezifo World ochaphazelekayo phezu ukuvela zosulelo nosocomial besebancinane. Baya kuxhomekeke abantwana kakhulu enobunzima obuncinane, ngaphambi kwexesha buthathaka. Kukho ubungqina yokufa (11%). Lizwe lethu le pathogen rhoqo ogubungele iphecana isisu, eli phecana bokuphefumla ENT-amalungu. Kwimeko nganye kufuna unyango entsonkothileyo ngamnye. Nakanjani umntwana ithunyelwe kwisebe ezosulelayo.

Lo mfanekiso lwezonyango ngayo abantwana

Onke amatyala kwezigulane pneumonia, nto leyo evusa a gram-elibi igciwane kwe sodidi Pseudomonas abhalwe rhoqo. Symptomatology fever zomlomo wakhe, ukhohlokhohlo amandla kunye phlegm viscous anele. Emva kosuku olunye, ubomvu, ukuphelelwa umoya neoksijini yindlala.

Kwi X-ray umfanekiso ityhila utshintsho olubalulekileyo emiphungeni. Oku kufuna unyango ngokukhawuleza. Akukho yingozi kangako xa Pseudomonas aeruginosa kwi umntwana ungena lokugaya. Kukho ukugabha kakhulu, urhudo kunye yencindi yomlomo kunye ubomvu, iintlungu esiswini.

Kukho yanyhashwa le wamathumbu microflora, amahlaba, noncwino ukuduma, usana ngokukhawuleza kakhulu ulahlekelwa isitokhwe ulwelo, ezisongela emzimbeni. Usuleleko kubonakala kubantwana abanengxaki abanesigulo esinganyangekiyo (abanesigulo esinganyangekiyo) - sisifo njengelifa. Ngokuchasene imvelaphi yalo ngezifo yi zokhuselo izilwa musa bakhuphisane arhente zasemzini, kunye nemithi elwa loncedo kangako, ngenxa yale gciwane iinkqubela ngesantya esiphezulu, ngokuthe ngcembe ebulala eziphilayo.

amanyathelo zokuxilonga

usuleleko Pseudomonas ngu uhlolo olubonakalayo kunye anamnesis jikelele ayichazwanga. sowings bacteriological ngokuyimfuneko athathiweyo ukuchonga iinkuni (ubomvu, yencindi, umchamo, igazi), kwaye wayeqhuba isifundo serological. lomzimba ibhaqwe exciter yenza linqaku lokugqibela ikhethiwe kunye neziphumo zonyango esekelwe usethe. uphethwe Cultural ayikho nzima, kwaye senziwe xesha lifutshane kangangoko kunokwenzeka.

usuleleko Pseudomonas: yokuphatha njani zokugula?

Nokuba kwiminyaka engama-20 eyadlulayo, ezi ntsholongwane akazange ukunika unyango, ukufa ziye zenzeka qho ngaphezu kwinkulungwane yama-21. Science ziye zafumana iziphumo ezingcono ekulweni nesi sifo singanyangekiyo. Izazinzulu ziye basungula enamandla arhente antibacterial ethintela kwamagciwane. Ezi ziquka:

- fluoroquinolones;

- carbapenems;

- ureidopenitsilliny;

- monobactams.

Okubuhlungu kukuba, olu hlobo yayintsholongwane eyosulela iintsholongwane eziguqulayo umelana nokuba ukuya amachiza aphuculiweyo elwa. Ukucinezela usulelo ngokupheleleyo kwaye uphephe uhluleka, uyacebiswa ukuba uqale unyango kusekwangoko isifo. Ezinyangiweyo ixesha elide (hayi ngaphantsi kwe ezimbini iiveki), Pseudomonas aeruginosa. Antibiotics baqeshwa emva abapasa iimvavanyo ezifunekayo kwaye uqinisekise uxilongo. Kuphela gqirha ichaza ukuba izakuba ngowuphi amachiza ezifanelekileyo kwimeko ethile.

Ngokwesiqhelo wabeka unyango inyathelo (nokuxuba) kunye antibiotics butofelwe, intramuscularly ngoko. Xa izitshanguba kwenkqubo wokuchama zimane kusetyenziswa instillation (catheter kunye ichiza kwi lwesinye). Ukuba usuleleko kuye kwabachaphazela inwebu yangaphakathi kunye ulusu, iincwadi enyanzeliswa phezu kwethu, lotions, igozi umhlabelo, wenza ngamanzi inaliti.

Ukuba kuyimfuneko, umntu Ukusikwa zoqhaqho izihlunu necrotic, njengokuba kubonisiwe kunye bedsores. Inxalenye ebalulekileyo unyango kukomeleza zokuzikhusela zomzimba. Best kude filtrate iintsholongwane fagolizata Pharmaceuticals bathi bacteriophage Pseudomonas aeruginosa. Le isisombululo antibacterial mihla ukuyekisa iiseli izifo. Ifanele ukuba unyango zonke iziza. Yayisebenzisa rectally, ngomlomo kunye ngokwemixholo. Kwandisa immunoglobulin yokuqaphela, nokuphelisa iimpawu kakhulu kwaye inceda achache. Emva ikhosi epheleleyo yonyango kunye nokuphelisa womfanekiso lwezonyango ngayo malunga ezilishumi iintsuku, kuyimfuneko ukuba ukuphinda-ukuhlolisisa ukuchonga-arhente causative. Ukuba ukutyala kwakhona ukubonisa iziphumo ezihle, wonyula olwa entsha.

amakhambi ezongezelelweyo

Unyango losulelo Pseudomonas aeruginosa luncedo ukuba esinokudibanisa amayeza wokuBuyiselwa, probiotic kunye ngamayeza, kodwa kuphela phantsi kweliso elibukhali logqirha. Xa umthamo othile vitamin nezimbiwa nezintsonkothileyo, ejolise ekomelezeni inkqubo yomzimba yokuzikhusela. Ngethuba unyango kuyimfuneko ukuba sigcine ukutya okunempilo ngokukhuphela ngaphandle carbohydrate eziyingozi, amafutha. Le menu kufuneka ukukhanya, esisityebi ngakwicala leeprothini, kwemifuno kunye neziqhamo.

iindlela ezizezinye ukubatshabalalisa usulelo

Ngaphandle iingcebiso kunye nezindululo neengcali kuyingozi kakhulu ukumisela imifuno ethile. Akwaziwa ukuba uhlobo basabela bakufikise kwimeko yakho. Siyaleza ngamandla ukuba esichengeni impilo yabo. Ezinye iingcali kunye ngeedosi zamayeza zibeka amacandelo eengcambu kwi entsonkothileyo. Ukuba ufeze zonke iimfuno ze ulandele iingcebiso abanikezeli beenkozo zononophelo lwempilo, uyakwazi kuthi ndlela-ntle unesifo "Pseudomonas aeruginosa".

Folk zokulungisa ezifana horsetail, amagqabi Aspen, ioli iti umthi, chamomile, inceda ukuphelisa nangokurhala, okudambisa esi sifo. Engqinekayo ngokwayo iimveliso bee - propolis, ukuba antibacterial, iipropati kubola. elide Kuye kwaba kulo wenza decoctions, tinctures, namafutha ukusetyenziswa mlonyeni. Thina ukuchaza recipes eziliqela ezidumileyo.

• Xa enkulu alinganayo phisa amagqabi horsetail (okanye ngeplantain) kunye Aspen amanzi abilayo. Ukusela 30 g ngemihla (amacephe amabini) phambi nokutya, nje ekwimo olufakwe (kunye iti okanye amanzi). Unga ngamanzi umqala, ukuze iphume le sinuses. iziyobisi zasekhaya elwa, anti-ezithintela ukosuleleka kunye ubuthi isiphumo.
• abaphilisi Folk yaleza ukusebenzisa nemithi zendalo ukunyanga izifo ezahlukahlukeneyo. Ezi ziquka iti umthi oyile, nto wathengisa kuthungelwano ekhemesti. Kuyimfuneko ukudibanisa nethontsi ulwelo kunye izimuncumuncu ukhamba namafutha omnquma. Sela kanye ngemini ngamanzi.
• On a icephe Viburnum amaqunube kuthatha iikomityi ezimbini ngamanzi abilayo. Sokufaka kuba malunga neyure de isisombululo uya kuba umbala elizele. Ingaphela 100 ml kane yonke imihla. A umhluzi efanayo eyenziwe wavuka esinqeni. Sokufaka ngendlela thermos basela nje yeti.
• Senza ukumnika amayeza amahlanu iintyatyambo anti-infective ezomisiweyo okanye entsha Calendula kunye 250 ml amanzi abilayo. Lo mxube iye ifakwe phezu ngeyure enye. Isisombululo iphela, makongeze asiphe enkulu utshwala propolis tincture. Thatha kathathu ngemini 50 grams. Ukudityaniswa kwamaxwebhu macandelo kwiplanti ezimbini nokukhuthaza iinkqubo omzimba ezizikhulelayo kunempembelelo emibi iintsholongwane yayintsholongwane eyosulela ukucola ukukhula nophuhliso zabo. Ukongeza, kukho decoction le ndindisholo kwaye eveza amanyathelo fungicidal.

Khumbula ukuba enye nyango ngumphelelisi unyango ngamachiza, kwaye akakwazi ukuthintela usulelo ngokwabo. Balwela kuphela ukomeleza amajoni omzimba kunye nokudumba nokunciphisa. Kuyimfuneko ukuba ukuqonda ngokucacileyo kwaye ukwazi Izimo ezo imifuno nezityalo ezibalulekileyo.

kuthintelo

Pseudomonas aeruginosa (usulelo) kuxhaphakile kakhulu okusingqongileyo kwaye ikoloni kwi enyama yangaphakathi yabantu, ibangela umonakalo omkhulu. Ukuze sibe ekhuselekileyo, kufuneka ulandele imigaqo ekungathethwayo, nigcine ngococeko aphantsi. Simply achonga iintsholongwane kwindawo esibhedlele kunokuba ukusuka komnye umntu. Ukuba ukrokrela ukuba umthombo usulelo kufuneka ukuba ahlwayele onke amalungu osapho ahlala indlu enye.

Uthintelo Primary kwaye iphambili ukulawula impilo, ingakumbi amajoni omzimba. Nika umzimba wakho nge ukutya elungeleleneyo ekrwada, ngalo lonke ixesha uhlambe izandla zakho kakuhle ngamanzi anesepha emva egadini, ukuhamba. Sebenzisa amalaphu olumanzi esitratweni, xa ufuna okulula.

Ukuphelisa le arhente causative of abanikezeli beenkozo zononophelo lwempilo kufuneka esweni ucoceko kwezandla, izakhiwo kunye nezixhobo. Phantsi kokuvala efunekayo iityhubhu endotracheal, catheters iphathwa kunye nezisombululo ezikhethekileyo. Ukuphelisa wosulelo izitya kushushu kumadanyana ukuya rhoqo esweni izinga index hydrogen amanzi (7.2-7.8) kunye lwee- iikhompawundi chloride (70.5 mg / l).

Yonke imithombo Kwafunyaniswa yongcoliseko ziibhakteriya ezibhedlele kufuneka ngoko nangoko kutshatyalaliswa. Izigulane kunye neempawu ekrokrisayo ngokukhawuleza mabavavanywe kwaye zibekwe kwiklinikhi sisifo esosulelayo ukuze kuthintelwe ukusasazeka kwezifo. Ngaloo ndlela uyakwazi ukunciphisa amatyala yosulelo kwaye ukunyenyisa unyango ngokuchanekileyo.

Yintoni imiphumo?

Ukuxhaswa ngokuthe ngqo kuxhomekeke ekukholeni kweenkqubo ezihambelanayo. Iziphumo zonyango ziya kuba zilungile xa usebenzisa i-antibacterial drug of action. I-Pseudomonas aeruginosa inempembelelo kwimisebenzi emininzi ebalulekileyo, ingakumbi kumzimba wabantwana. Kwezinye iimeko emva kwonyango olude kunye nokupheliswa kwemibonakalo ebalulekileyo emva kwexesha elithile, izibonakaliso ziya kuphinda ziphindwe okanye zihlaziywe malunga nemvelaphi yezilwanyana ezikhoyo.

Ngeempawu ezinomngcipheko zokunyuka komgangatho wezempilo jikelele, musa ukuvila ukuba uvavanyo, ubuncinane ukudlulisa uvavanyo lwegazi kunye ne-urine. Ukuba awuzithembi iziphumo ezifumanekayo, qhagamshelana neengcali ezininzi kwiingxaki eziphazamisayo. Nika ingqalelo enkulu yempilo yakho, uhlale uphulaphule imiqondiso eyenziwa ngumzimba.

Isifo ngasinye sinezibonakaliso zesimo, esenzeka ngokukodwa kwisigaba esicacileyo, uze usiyeke. Njengoko kuyaziwa, ifomu evulekileyo ibonisa ukuba i-pathology idluliselwe kwifomu engapheliyo. Kule meko, unyango luya kuba nzima, kuthatha ixesha elininzi kunye nomzamo. Ungalokothi ushiye, ulwe nezifo, uzungeze ngeemvakalelo ezintle, ulawule ukuxinezeleka nokuxakeka. Indlela eya kwimpilo enhle ikhona ngokuthintela. Khumbula oku kwaye ungagula!