Proteus igciwane ithelela ngomgudu womchamo

Lokhu igciwane kungokwalabo umndeni Enterobacteriaceae. Futhi phakathi kwamanye amalungu le "umndeni" uhlobo Klebsiella futhi Escherichia, kungabangela imiphumela engemihle. Nakuba zontathu lezi zinhlobo bahlalela umzimba njengoba izakhamuzi ezivamile ipheshana wokugaya ukudla. Ngokuvamile igciwane Proteus uhlala lapho isibalo sabantu lapho - e izinkulisa kanye nezibhedlela.

Ngo izibhedlela, lokhu igciwane uhlala phezu kwesikhumba futhi lwamafinyila ulwelwesi kokubili iziguli kanye nabasebenzi. Nokho, isifo kwakuyiphutha wakhe zenzeka kuyaqabukela ukwabelana izifo atholakala ezibhedlela phakathi Proteus encane. Ngokuvamile abantu bekhathazwa khona amasosha omzimba eziyinkinga (HIV noma ezinye immunodeficiency), futhi iziguli isakhiwo okungavamile ngomgudu womchamo noma labo abafuna ukufaka ipayipi ku ngomgudu womchamo. Yingaleso sikhathi lapho igciwane Proteus futhi kungaba ukuzibonakalisa.

Lezi zilwane Proteus mirabilis kubangela isifo kaningi. Anakho izinwele ekhethekile ezikuvumela ezizofakwa ezindongeni pheshana urinary endothelial, nimkhonze, ninamathele mangaza amaseli umzimba aphethe. Ngokuvamile ngokumelene amagciwane icuphe apoptosis kumaseli we umzimba aphethe, okuholela izivakashi engadingeki "sikhanyise Away" nge exfoliate iseli efile we epithelium. Nokho, le nqubo okungekuhle. Ngaphezu kwalokho, ngokumelene amagciwane khiqiza urease enzyme enonya, okwandisa ingozi pyelonephritis ezikhathini eziningana. Ngakho elenziwa non kabi izinkinga ezibangwa.

Lapho igciwane lingena emgudwini wegazi, ke kuqokomisa endotoxin (insalela odongeni cell), okuyinto kuphakamisa impendulo enamandla kakhulu ukuvuvukala. Kwezinye iziguli, lokho kungase kubangele sepsis, nakuba amathuba liphansi kakhulu. Noma kunjalo, ematfuba impendulo letindzala ukuvuvukala kungenzeka, futhi lokufa kungaba 20-50% ngisho esikhathini sethu. Ngokuvamile, uthi olunje ezigulini esibhedlela isikhathi eside futhi ababeka njalo udinga ukushintsha ipayipi, okungukuthi, ipheshana lakhe urinary echayeke ukuhlukumezeka njalo.

Igciwane Proteus ane-alikhali umchamo, ukhulisa khona ukuba ammonia, ngaleyo ndlela kwakhele izimo ezikahle lwegciwane uqobo. Nokho, lena kuphela ingxenye yenkinga. Eyesibili ukuthi kubangela ukwakheka amatshe engavamile - struvite. Kodwa lena isimo esibucayi kakhulu abantu abanalo, futhi ngakho-ke kwakudingekile ukuba ukwethula ipayipi unaphakade. Lezi amatshe yakhiwa phosphate futhi chaza i osebenzelana acid. Kodwa Proteus isekela ane-alikhali imvelo.

Elinegciwane bangabesifazane ikakhulukazi, ematfuba isifo phakathi kwalabo lubekwa unomphela ipayipi, kuyinto 10-15%, yokwanda kwalo ukutheleleka nosocomial ohlwini - wesibili (emva pneumonia).

aphathe kanjani Proteus? Proteus mirabilis nozwelo cephalosporins, okuyinto akunjalo Proteus vulgaris. Ukwelashwa kulokhu kudinga ukusetshenziswa nezinye elwa namagciwane, ezifana sulbactam futhi meropenem. Proteus vulgaris kuyimbangela kancane ezivamile urinary izifo ipheshana.

Uma isiguli ane-alikhali umchamo, kuhlangene ngezikhalo ubuhlungu, wayihlukumeza kakhulu masinyane, kusikisela umqondo a KWAMAGUNDANE udokotela Proteus. Kulokhu, wemaviki lamabili Yiqiniso ezinqunyiwe quinolones futhi gentamicin Yiqiniso, akubona bonke iziguli ukubekezelela zokugcina kahle, kodwa ngempumelelo kakhulu. Ngenxa ubhubhisa hhayi kuphela ngokumelene, kodwa futhi nezinye Amagciwane kungenzeka.

Ukulandela ukwelashwa ukunakekelwa esibhedlela Kufanele kuqashelwe ukuthi ngangokusemandleni kwakudingekile ukwethula ipayipi. Isiguli kufanele zithole uketshezi oluningi ukuba ngokushesha kwaba inqubo ukukhululwa kuka umzimba ezifweni. Proteus wesabe ngokuphelele konke akudingekile, ithinta akubona bonke abazazi inkinga, ngaphezu esibhedlela naye olwisana, ngakho-bacterium Proteus - Udokotela okhathalelayo, hhayi izihlobo lesiguli.