Klebsiella esiswini: izimpawu, ukwelashwa

Esinye sezakhi okuqukethwe womuntu emathunjini kuyinto Klebsiella silwanyana. Ubiza microflora sakhe esivamile. Kodwa nge buthakathaka amagciwane amasosha omzimba iqala ukuba azale ande. Kungaba kuthinte zokuphefumula, uhlelo urinary, pheshana emathunjini.

incazelo

Klebsiella igciwane esiswini - kuyinto silwanyana induku emise. isakhiwo sayo kufana Enterobacter futhi Serratia. Ukuze uwahlukanise kuphela esebenzisa ukuhlolwa okukhethekile. Futhi Klebsiella amagciwane ngokuvamile umile. Uma uyikha phezulu le ke efanelekayo isiko media , bahlala amakoloni enkulu. Namanye amagciwane ezifanayo mobile ngokwanele. Manje odokotela secrete ezingaphezu kuka-80 amagciwane Klebsiella, zingabantu ovelele esekelwe antigen capsular.

Lezi nezilwanyana ezincane zivela njengoba izinduku 0.6-6 microns ubude kanye imikhawulo oyindilinga. Basuke ahlelwe ngazimbili, amaketanga esifushane noma ngamunye. On ezindaweni zawo ngokufanele amaqhubu asamicwana, nge lapho benzelwe.

amagciwane ingozi

Klebsiella umsebenzi olimazayo esiswini iqala ukuthuthukisa kuphela buthakathaka amabutho okuvikela umzimba. Uqala ngenkuthalo ziyanda navusa ukuvela izinqubo ezihlukahlukene ukuvuvukala. Kungabangela ngisho sepsis. Kulokhu, ukufa kungenzeka isiguli.

Lesi silwanyana kungathinta hhayi kuphela izitho ezihlukahlukene, kodwa futhi yobudala lwamafinyila, amalunga omzimba. Ingase futhi ilimaze ulwelwesi lwesisu, kwenze ubuchopho.

Igciwane iqhubeka isikhathi eside e imvelo. Klebsiellu ukuthola kungenzeka enhlabathini, indle namanzi abavamile. Igciwane olumelana ukushaqeka ezishisayo, emisebeni ultraviolet, izibulali-magciwane. Futhi, akusiyo isenzo kwamaphilisi eziningi.

kudala izinkinga

Ngokunciphisa Klebsiella izivikeli mzimba emathunjini e abadala nezingane iqala ukusebenza. Mshini yokudlulisela sawo ngokuhlola indlela fecal-temlomo, kanye main - contact-yasendlini nokudla. Futhi indlela yokuqala ukutheleleka sici ngoba ezikhungweni zezempilo. Kuyinto kukhona ezandleni izisebenzi nabo iziguli, imishini nezinto ezihlukahlukene ukunakekelwa, angadluliselwa lwegciwane. Ngokuvamile, ama-bacterium aqala emzimbeni ngezandla ezingcolile.

Ukudla indlela kuhilela kungenzeka ukutheleleka nge ukudla okuluhlaza kahle. Ngakho, umthombo ukutheleleka kungenzeka babe izithelo ezingcolile, inyama, ubisi.

Klebsiella emathunjini ezinsaneni usungaqala wande ngenxa ukutheleleka esibhedlela ngesikhathi nokulunyulwa. Izindlebe zezingane ziyashesha kakhulu ukutheleleka yilo igciwane. Ngokuvamile kuthinta izingane ngaphambi kwesikhathi futhi buthaka. Isibhadalala izifo ngezinye izikhathi zenzeka amayunithi ezisanda kubelethwa, imvuthu kwesikhathi. Ningaweli ngaphandle nengane yokusiza umuntu ukuba aphefumule, umnyango kuhlinzwa urological.

izilonda

Lapho nje igciwane Klebsiella ongena ngesango ipheshana zokuphefumula, ngomgudu womchamo noma emathunjini emzimbeni, uqala kumiswa focus ukuvuvukala. Kule nqubo ukuthuthukiswa, laba kanjani nesandla ubuthi ethakwa by nezilwanyana ezincane.

Ngokwesibonelo, uma igciwane ukudla waphawula ukufa mass-bacterium, kuyilapho kukhona goksinemiya evelele. Uma Klebsiella isebenze esiswini wengane, khona-ke ungakwazi ibe imbangela bacteremia. Lokhu kungenzeka foci yesibili ukutheleleka: i-pneumonia, pyelonephritis, ubovu meningitis. Asikwazi ukubeka eceleni ukuthuthukiswa sepsis.

Lung umonakalo kungaba kokubili ukutheleleka zamabanga aphansi naphezulu. Ukuvuvukala ezingase zihileleke futhi pleura futhi ngezinye izikhathi waphawula ukopha futhi foci necrotic.

Ezinye iziguli zingase zibe ukutheleleka okuyisisekelo noma yesibili ngomgudu womchamo abese nezinso. Lapho kunqotshwa ipheshana yesisu angagcina edema, ukwandisa kwegazi amathumbu ezinkulu nezincane. Klebsiella emathunjini kungabangela erosions nokopha.

Izimpawu zezinkinga wamathumbu

Odokotela bazile ukuthi igciwane phezu ukutheleleka bayashintshana ekufukameleni inkathi lincane ngokwanele. Kungaba isikhathi eside kusukela amahora ambalwa 2 izinsuku. Nokho, lapho indlela contact-yasendlini ukutheleleka it is sinwebiswe 3-6 izinsuku.

Uma aqale ukuphindaphindeka ezimathonsi Klebsiella emathunjini, izimpawu e abadala zifana ezenzeka izingane. Lesi sifo okuthiwa enterocolitis noma enteritis. Iqala ngempela ngokucijile. Amazinga wokuqala kakhulu anda (ukubaluleka kungaba njengoba eliphezulu 40 degrees) iqala indle okuxekethile, avele cramping ubuhlungu besisu, izimpawu umfutho high. Kuwukubonakaliswa ezikhulayo ngokushesha. izigqiki Liquid, ngokuvamile izimbici, igazi-ezinemishwe, iphunga fetid. Kungaba kusuka 5 kuya eziningana izikhathi amashumi ngosuku.

Kwezinye izimo, enterocolitis inothi yellowness kwesikhumba, ukukhulisa kwesibindi. Ezinganeni, lesi sifo kube nzima ukuthuthukiswa pneumonia, sepsis, pyelonephritis, ubovu meningitis. Abasengozini ababelethwa kungakafiki isikhathi nalabo imvuthu kabani lwetemphilo sibukelwa phasi izifo njalo.

Klebsielleznaya isifo nezinye izitho

Kwezinye izimo, igciwane lingena Ungangeni amathumbu, futhi amaphaphu noma izinso. Ngakho, lokho kungase kubangele i-pneumonia. Lesi sifo iqala enomkhuhlane, izinga lokushisa lingase ifike 41 degrees. Ngoba futhi libhekene ubuhlungu besifuba, ubuthakathaka, iphika, ukukhwehlela. Fever nge klebsielleznoy ukutheleleka ingahlala-10 izinsuku. Ukuze isifo libhekene ukubukeka isikhwehlela. Yena viscous, ngokuvamile kukhona namabala egazi, iphunga wokushisa inyama. Ngokuvamile lesi sifo kube nzima ukushaqeka ezithathelwanayo-anobuthi, pleurisy, meningitis, abscesses emaphashini.

Kodwa hhayi kuphela emathunjini bese wamaphaphu Klebsiella kubangela izinqubo sokugembula. It kungathinta nezinso ngomgudu womchamo zonke. It libhekene okusezingeni eliphezulu imfiva isifo, ubuthakathaka jikelele, izimpawu ezinzima zokudakwa, ubuhlungu beqolo kanye esiswini. Amafomu olunzima ukutheleleka kwenzeka kwabesifazane abakhulelwe kanye abesifazane emshikashikeni. Zingase sihambisane ukuthuthukiswa endotoxin ukushaqeka, imbangela isisu.

sepsis

Kungakhathaliseki lapho eqala ukuzalela bacterium, abakwazi ukuvala amathuba we isimo siba sibi. Phela, njengoba inkinga yanoma yiziphi izifo usungaqala sepsis. izimpawu Isici kukhona nokulahlekelwa ukwazi nomkhuhlane. Amanani sayo singaba phakathi 38,5-41 ⁰ C. Ngaphezu izici isici isifo eba oluhambisana syndrome. Lapho uvele ukulimaza ngenxa ukuvuza imithambo yegazi yomuntu emngceleni. Kungenzeka phezu pharyngeal mucosa, conjunctiva. Futhi kuthinta isimiso sezinzwa esiyinhloko, zikhona izimpawu meningeal, nokuquleka. Ifomu generalized lesi sifo izinga lokufa kuyinto 70%.

sitholakele isifo

Ukunquma ngokunembile leyo nkinga futhi izizathu oholele kulo, ukuhlolwa laboratory kunesidingo. Ukuze ukuhlaziywa shall endleni, umchamo, isikhwehlela, kuye ngokuthi hlobo luni isifo basungula. Indaba test ithunyelwa bacterioscopy. Futhi wenza ukuhlolwa serological, angasetshenziswa ukuze usethe inani lwegciwane. Eqakathekileko cwaningo iwukuba ukunquma ukuzwela ezintweni ezihlukahlukene elwa namagciwane.

ukwelashwa ukutheleleka

Njengomthetho, uma kutholakala klebsiella e emathunjini, ukuphathwa wenziwa esibhedlela. Beka iziguli esibhedlela, ngokusekelwe ukuxilongwa emitholampilo olunembile zokuziphatha kakade endaweni.

Ukwelashwa amafomu aphakathi nendawo kanye kanzima lesi sifo akunakwenzeka ngaphandle ukusetshenziswa kwezidakamizwa elwa namagciwane. Inikezwe izindlela ngokuvamile ezifana "Gentamycin", "Tobramycin", "ceftriaxone" "Cefuroxime", "Cefotaxime". Ngo amafomu ezinzima lesi sifo kungaba ukwelashwa nge elwa namagciwane amaningi.

Uma Klebsiella watholakala emathunjini, kubhekwa sokusebenzisa iningi imithi ngomlomo. Kodwa zingenza emthanjeni zabo, esicutshini, noma ukuvuza.

Futhi iqondiswa ngomlomo regidroterapiya. Kungaba kwenziwe nge ukumnika noma extracorporeal amasu, isb plasmapheresis. ukusebenzisa amathuluzi anjenge "Immunal" ukwandisa ukumelana umzimba, "Pentoxyl". Ezimweni ezimbi kakhulu, walungisiswa ukusetshenziswa lonke igazi noma uketshezi olungenambala olusegazini bomdabu.

Kubalulekile ukuthi iziguli baphuza probiotics noma bacteriophages. Ukwakhiwa ala maqembu bayakwazi ukubuyisela microflora evamile emathunjini futhi kuthiye ukukhula microorganism pathogenic.