Ukutheleleka Pseudomonas. Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Ukuze wonke sengikhulile, umuntu ngamunye emhlabeni ehlaselwa ezihlukahlukene amagciwane. Ezinye izihambeli enobungozi siyekele eziningi nemiphumela ebuhlungu kanye nezinkinga ezenzeka kubantu abadala. lwegciwane ngamunye unendima, umsebenzi basuke zikhonjwe ngezindlela ezahlukahlukene, futhi, ngokunjalo, umuthi othile wokwelapha ngazinye.

Zokwelapha, eqoshiwe eziningi izifo eziyingozi, mayelana nokuthi iziphi izinhlelo kumuntu ovamile akuyona ngisho nokuqaphela. Lezi zihlanganisa igciwane Pseudomonas kubangelwa aerobic Wand asporogenous uhlobo Pseudomonas aeruginosa. Lokhu amagciwane motile, uyakwazi kucutshungulwa carbon imithombo imvelo.

Isici esiyinhloko siwukuthi ukulondoloza imisebenzi ebalulekile ke akudingi izakhi ezikhethekile, it is ngokuphelele bazivumelanisa futhi okusakazwa ku-medium ehambisana ukungabi oluphelele udaba eziphilayo. Ingabe akhona ngisho izibulali-magciwane nokuthuthukisa e evamile ketshezi distilled.

Injongo eyinhloko ukushicilelwa wanamuhla uyisibonakaliso isingeniso enemininingwane ezakhiweni emitholampilo-epidemiological lokhu igciwane, ukuzimisela yokwelapha ngemithi elwa namagciwane. Sizokubonisa ukuthi izifo eziyingozi nosocomial, okuyinto ukubandakanya zokugula, futhi ufunde ngezinye izindlela abangelashwa ngazo.

sici

Isayensi Esemthethweni 140 zinhlobo ezaziwayo zama-bacterium igremu-omubi zenyathi. Le ndawo main kwendawo yazo - imvelo. Lwegciwane ukhetha inhlabathi olumanzi, amanzi kanye eziphilayo ngaphakathi izitshalo ipheshana wokugaya ukudla kwezilwane ngisho nabantu. Igciwane Pseudomonas aeruginosa vuma ezingeni lokushisa kusuka 37 kuya 42 degrees, futhi liphindaphindeke ngenkuthalo ekhula ngokushesha.

Lwegciwane engcupheni abantu, ukumelana ngokumelene ejenti kakhulu elwa namagciwane kanye elwa namagciwane. Kuyaphawuleka ukuthi u-10% abantu abayimiqemane, ama-bacterium atholakala esikhumbeni endaweni imbilapho, eduze ezindlebeni, ekhaleni, emphinjeni kanye lwamafinyila lichaza ekwakheni microflora emathunjini.

Isayensi kusikisela ukuthi ingozi yesifo kuyingozi ekhona, uma isibalo P. aeruginosa lingadlula ukunqunyelwa ovumelekile. I Lesi sifo siphatha kakhulu izinqubo ezinzima zokucabanga okubangelwa isifo abantu abanezifo ezingamahlalakhona, buthaka omzimba. I lwegciwane ungakwazi ukubamba aerosol, ukudla, yasendlini-contact ngendlela. Ngokwezibalo, avame ukutheleleka kwenzeka esibhedlela ngokusebenzisa imishini wezokwelapha, eluhlaza amathuluzi, izixazululo, antiseptics, endoscopes.

Muva nje, nosocomial (nosocomial) izifo (HAI) zisho efanele emhlabeni. I Lesi sifo siphatha kakhulu kubo izingane ezincane, asebekhulile, iziguli ezinemishini ababuthakathaka reactivity mzimba. Ukuze kuncishiswe ingozi yokutheleleka ukudala izindlela ezintsha zokuxilonga nokwelapha, imishini wezinsimbi ukuhlonza izinhlobo zesifo.

Ukuze uthole ukwaziswa okwengeziwe mayelana nezifo atholakala ezibhedlela

I-World Health Organization bahlabe umkhosi ku inamba yezimo iziguli owaqhubeka esibhedlela endaweni isikhungo sokwelapha. izifo Nosocomial, kuhlanganise Pseudomonas aeruginosa, - kuyinkinga enkulu for umphakathi wonke ngamazwe, ngokuvamile entailing nokufa. Lokhu kungenxa abampofu sanitary ukwelashwa izindawo, imishini, khona isifo afihlekile abasebenzi bezempilo. ukutheleleka Pseudomonas itholwa e izibilini, e izilonda edabukile futhi iqhubeka, kanye kusikeka okuncane, ipheshana zokuphefumula, ipheshana emathunjini. Kuye kwasendaweni pathogen abonise izimpawu sici.

izimpawu ejwayelekile

I lwegciwane kungathinta kwezicubu eziningi izitho, kanye isikhathi eside akazange ngokwayo ukukhipha, owabangela umonakalo ngokuthi impilo. Pseudomonas aeruginosa kubangela eziyingozi: sepsis, ecthyma gangrenous, necrosis, meningitis, nokunye. Uma sithinta urinary izimpawu uhlelo libhekene izinhlungu abukhali ngesikhathi bethulula kwesinye, ubuhlungu esiswini, umuzwa esivuthayo. iziguli eziningi zithola bebodwa azilungiselele izifo nokudla izidakamizwa ezimathonsi.

Kakhulu eyingozi ukuthola abantu kwegciwane pheshana emathunjini. Kubangela goiter, enteritis, nesifo. Vela ukudakwa, sebuhlungwini obunzima, sezinyawo kahle, ukuhlanza, isicanucanu. Ubuthi obukhishwa bacterium ukubhubhisa imikhumbi kuthinte amaseli isibindi nokuvuselela hemolysis kwamangqamuzana egazi (RBCs). E. coli Pseudomonas e Usuqhubekile cishe ngeke welaphe futhi usongo ekuphileni.

Lapho yenziwe yaba yasendaweni lwegciwane futhi sibangelwa?

Engena phakathi umzimba, Pseudomonas aeruginosa kubangela nokuqubuka kwezifo ezithathelwanayo kanye ukuvuvukala by urinary, wokugaya ukudla, zokuphefumula futhi izinhlelo yamaphaphu. Sichayeke imiphumela elimazayo ENT izitho. Une-Pseudomonas aeruginosa endlebeni, okubangela ubovu otitis ngegazi. Ukutheleleka singenzeka rhinitis, sinusitis okungamahlalakhona, adenoiditis, inyumoniya futhi ukucinana kwemigudu yokuphefumula.

Kodwa ukuthunjwa izinhlelo urinary ukuthuthukisa urethritis, cystitis, pyelonephritis. Burns, izilonda, iqhubeka amanxeba igciwane kuphakamisa ukuthuthukiswa ithumba futhi sepsis. Iqembu ingozi kuhlanganisa isiguli esembhedeni labehluleka sicophelele efanele. Ngenxa immobilization nokunwetshiwe kwakhiwa ukukhala izilonda - esangweni ngenxa yokuthokoza Pseudomonas aeruginosa. Kukhona inala pathologies ezibangela Pseudomonas aeruginosa. ukwelashwa yabo kunzima futhi kudinga ulawulo oluphezulu ku ingxenye udokotela.

Pseudomonas aeruginosa ngokuvamile atholakala abantu kwathiwa unesifo "pneumonia oyingozi". Ukutheleleka kungabangela endocarditis, CNS zokugula futhi uhlelo zemisipha. Ngezinye izikhathi igciwane wendawo iba bacteremia ebulalayo (isifo wonke umzimba), kuleso simo onalesi sifo sidabukisa. Kufanele ukuthi lo mshini imiphumela elimazayo imbewu eletha Kwenzeka ngezigaba ezimbili: koda futhi toxigenic.

Pseudomonas aeruginosa e ingane: yeka ukuthi kuyingozi kanjani?

Pediatrics Umhlaba ukhathazekile phezu ukuvela izifo nosocomial zisencane. Ziyakwazi kuncike ikakhulukazi izingane ongaphakeme ezizalwa zinesisindo esiphansi, ngaphambi kwesikhathi futhi buthaka. Kunobufakazi wabashonile (11%). I kwasendaweni pathogen ngokuvamile ihlanganisa leli pheshana emathunjini, leli pheshana zokuphefumula kanye ENT-izitho. Esimweni ngasinye kudinga umuntu ukwelashwa eziyinkimbinkimbi. Nakanjani ingane ithunyelwe eMnyangweni ezithathelwanayo.

Lwasemtholampilo isithombe izingane

Zonke izimo iziguli i-pneumonia, okuyinto kuphakamisa igciwane igremu-negative bohlobo lwe-Pseudomonas njalo eqoshiwe. Symptomatology imfiva sho ukukhwehlela uyakhathaza nge phlegm viscous futhi mningi. Ekupheleni kosuku, ubomvu, iphika-mpilo indlala.

Ku-X-ray isithombe lembula izinguquko eziphawulekayo emaphashini. Kudinga ukwelashwa ngokushesha. No kancane esiyingozi lapho Pseudomonas aeruginosa e ingane ingena ipheshana wokugaya ukudla. Kukhona ukuhlanza ezinzima, uhudo izimbici futhi ubomvu, ubuhlungu esiswini.

Sekube nokwephula we emathunjini microflora, amajaqamba, ukusinda kanye kwentaba, ingane ngokushesha okukhulu ilahlekelwa amasheya ketshezi, esongela ukuphelelwa amanzi emzimbeni. Lesifo kuzibonakalisa izingane abaphethwe cystic fibrosis (cystic fibrosis) - kuyisifo esiwufuzo. Against ngemuva kwalesi zokugula kuwukuvikelana amasosha omzimba Azibangisani ejenti lesinye isizwe, futhi imithi elwa namagciwane azisizi ngalutho, ngoba lokhu igciwane iqhubeka ngesivinini sombani, kancane kancane ukubulala umzimba ophilayo.

izinyathelo zokuxilonga

ukutheleleka Pseudomonas by wokuhlola ezibukwayo kanye anamnesis jikelele akachaziwe. sowings bacteriological ngempela ezenziwe ukukhomba izinti (ubomvu, isikhwehlela, umchamo, igazi), futhi beqhuba izifundo serological. omzimba Kutholwe exciter kwenza amaphuzu yokugcina kuyakhethwa bese usetha ngokusekelwe ukwelashwa imiphumela. Imiphumela yaloku kuhlola okungenhla Cultural akunzima, futhi senziwa esikhathini esifishane.

ukutheleleka Pseudomonas: sendlela yokuphatha abanye zokugula?

Ngisho 20 edlule, ama-bacterium enganikanga yokwelapha, ukufa njalo uma ziqhathaniswa ekhulwini lama-21. Isayensi iye yibona abathole imiphumela ephezulu ekulweni nalesi sifo esikhohlisayo. Ososayensi baye baklama enamandla ejenti elwa namagciwane ekuvimbeni Amagciwane. Lezi zihlanganisa:

- fluoroquinolones;

- carbapenems;

- ureidopenitsilliny;

- monobactams.

Ngokudabukisayo, lolu hlobo pathogenic amagciwane iyaguquguquka umelana ngisho i izidakamizwa ngcono imithi elwa nawo. Ukucindezela ngokuphelele namagciwane ukuze bangabuyeli emuva, kungcono ukuqala ukwelashwa ngendlela efanele usaqala lesi sifo. Waphatha isikhathi eside (hhayi ngaphansi kuka amasonto amabili), Pseudomonas aeruginosa. Imithi elwa namagciwane Bamiswa ngemva edlulisa izivivinyo edingekayo bese uqinisekisa uphethwe. udokotela kuphela ukuthi yiziphi izidakamizwa zilungele endabeni ethile.

Ngokuvamile inikezwa (kushintshana) ukwelashwa isinyathelo ngemithi elwa namagciwane ngemithambo yegazi, intramuscularly ke. Ngo izilonda kohlelo urinary zimane esetshenziswa instillation (ipayipi nge izidakamizwa ku esinyeni). Uma isifo abathintekayo nolwelwesi lwamafinyila kanye isikhumba, lo amaphakethe esikhulu, lotions, gauze ngebhandeshi, wenza uhlambulule umjovo.

Uma kunesidingo, excision kuhlinzwa kwezicubu necrotic, efana kukhonjiswa ngezinkomba bedsores. Ingxenye ebalulekile yokwelapha ukuqinisa umzimba ozivikela ngayo. Kuhle kakhulu filtrate fagolizata amagciwane Okwemithi wathi bacteriophage Pseudomonas aeruginosa. Le isixazululo yesimanje elwa namagciwane futhi ukuyekisa amaseli pathogenic. Ifanele ekwelapheni wonke amasayithi. Kwakuvamise rectally nekwesekela ngekukhuluma ihlelwe ngokulandelana kwezihloko. Kwandisa immunoglobulin zamagama, aqede izimpawu ezinamandla futhi usiza yokutakula. Ngemva uwaqede ukwelashwa nokuqedwa isithombe ngeziguli kwezinsuku eziyishumi, kubalulekile ukuba ahlolisise ukuhlonza ejenti causative. Uma kutshalwa uzophinde ababonise ukusabela okuhle, yamisa-antibiotic entsha.

zokwelapha engeziwe

Ukwelashwa nokuvikelwa Pseudomonas aeruginosa ukutheleleka ulusizo okuhlangana ngayo amakhambi bokubuyisana, probiotic futhi homeopathic, kodwa kuphela ngaphansi kweso esiqinile udokotela. Ngo Isikali ethile amavithamini namaminerali eziyinkimbinkimbi, kuhloswe ngazo ukuqinisa amasosha omzimba. Ngesikhathi ukwelashwa kuyadingeka ukuze bagcine ukudla okunempilo ngokungabali eziyingozi carbohydrate, amafutha. Imenyu kufanele kube ukukhanya, ecebile amaprotheni, imifino kanye nezithelo.

Alternative izindlela ukususa ukutheleleka

Ngaphandle iseluleko kanye neziphakamiso ochwepheshe kuyingozi kakhulu ukuba linqume amakhambi athile. Akwaziwa onjani ukuphendula babangela esimweni sakho. Sikholelwa ngokuqinile ukuncoma hhayi impilo yabo engozini. Ezinye izazi zifunda futhi Homeopath linqume izingxenye herbal in the complex. Uma ugcwalise zonke izidingo bese ulandela iseluleko bezempilo, ungakwazi ukusho Some kwathiwa unesifo "Pseudomonas aeruginosa".

amakhambi Folk ezifana horsetail, amahlamvu e-aspen, uwoyela tea tree, chamomile, kusiza ekususeni ukuvuvukala ukudambisa isifo. Kungase kutholakale ngokwayo bee imikhiqizo - propolis, elwa namagciwane kokuba, izakhiwo isinqandakuvunda. Sekuyisikhathi eside kuzo kwenza isithako nomuthi yokugcoba ukusetshenziswa ngezihloko ezihlukene. Sichaza izindlela eziningana ezithandwayo.

• Ngezabelo alinganayo yenza amaqabunga horsetail (noma ukhova) futhi-aspen abilayo amanzi. Ukuphuza 30 g nsuku zonke (wezipuni amabili) ngaphambi kokudla, nje ifomu lwenkomo olufakwe amanzi (nge itiye noma amanzi). Hlambulula emphinjeni, iphume le sinuses. izidakamizwa Domestic has elwa namagciwane, eqeda ukuvuvukala kanye ngokukhishwa kobuthi egazini umphumela.
• Folk abelaphi ukuncoma yokusebenzisa ama-antibiotic engokwemvelo ekwelapheni izifo ezihlukahlukene. Lezi zihlanganisa itiye uwoyela isihlahla, okuyinto okuthengiswa inethiwekhi ekhemisi. Kuyadingeka ukuxhuma iconsi liquid ngesipuni dessert zamafutha omnqumo. Phuza kanye ngosuku ngamanzi.
• On isipuni Viburnum amajikijolo thatha amabili izinkomishi zamanzi abilayo. Sokunika cishe ihora kuze isixazululo iyoba umbala te. Zigcwele 100 ml kane nsuku zonke. A umhluzi enjalo eyenziwe kusukela rose okhalweni. Sokunika endaweni thermos aphuze njengoba itiye.
• Senza ukumnika okwelapha izimbali ezinhlanu anti-infective omisiwe noma fresh calendula kanye 250 ml amanzi abilayo. Ingxube ukuthi wafaka isikhathi esingaphezu kwehora. Isixazululo selehlile engeza isipuni enkulu utshwala propolis tincture. Thatha kathathu ngosuku 50 amagremu. Inhlanganisela yezingxenye yokwelashwa ababili isitshalo zishukumisa mzimba izinqubo yezinto eziphilayo has nethonya elilimaza kakhulu amagciwane abangela izifo siyehla ukukhula nokuthuthuka kwazo. Ngaphezu kwalokho, decoction we izinzwa futhi ubukisa isinyathelo fungicidal.

Khumbula ukuthi izindlela zokwelapha ezikhona kukhona umphelelisi yokwelapha izidakamizwa, futhi ayikwazi ukuvimbela ukutheleleka bebodwa. Bathi nje ukuthi sikwenze ukuqinisa amasosha omzimba futhi ukunciphisa ukuvuvukala. Kuyadingeka ukuba siyiqonde ngokucacile ukwazi Izimo labo amakhambi izitshalo ezidla.

On zokuvimbela

Pseudomonas aeruginosa (ukutheleleka) uvame kakhulu imvelo futhi kungaba ikoloni the human izitho zangaphakathi, enza umonakalo omkhulu. Ukuze ivikeleke, kuzomele ulandele imithetho esingashiwongo, bagcine inhlanzeko aphansi. Vele thatha amagciwane imvelo esibhedlela kunokuba kothile. Uma usola ukuthi umthombo ukutheleleka kufanele kube ukuhlwanyela wonke amalungu omkhaya abahlala efulethini elilodwa.

zokuvimbela Primary kanye eyinhloko ukulawula impilo, ikakhulukazi izivikeli mzimba. Nikeza emzimbeni wakho nge ukudla okuluhlaza olinganiselayo, njalo gezisisa izandla ngamanzi anensipho ngemva ingadi, uhamba. Sebenzisa izindwangu ezimanzi emgwaqeni, uma ufuna isidlo.

Ukuze kuliwe ejenti causative of bezempilo kufanele iqaphe nokuhlanzeka yezandla, izakhiwo kanye nemishini. Njengoba ayefa inzalo edingekayo amashubhu endotracheal, catheters ziphathwe izixazululo ekhethekile. Ukuqeda ukutheleleka thini ashisayo okubhukuda sihlale njalo siqaphele izinga hydrogen Inkomba yamanzi (7.2-7.8) kanye lokuhlushwa chloride compounds (70.5 mg / l).

Yonke imithombo ezitholakele ukungcoliswa webhaktheriya ezibhedlela kumelwe khna manjalo. Iziguli izimpawu asolisayo kufanele ngokushesha esikalini wabekwa ezithathelwanayo isifo umtholampilo ukuze ugweme ukusabalala kwezifo. Ngakho-ke uyakwazi ukunciphisa amacala ukutheleleka ukuze ulungise ukwelashwa ngendlela efanele.

Iyini imiphumela?

Izibikezelo kuncike khona izinqubo concomitant pathologic. Ukwelashwa Imiphumela uzokhombisa ukuthi unalo igciwane e isicelo senombolo antimicrobial isinyathelo ububanzi. ukutheleleka Pseudomonas luba nomthelela ongemuhle imisebenzi eminingi ebalulekile, ikakhulukazi nomzimba wengane. Kwezinye izimo, emva kokwelashwa eside nokuqedwa ukubonakaliswa oyinhloko webhayisikobho ethile isikhathi esithile, izimpawu zingase ziyabuya noma sibe sibi futhi isizinda pathologies ekhona.

izimpawu okusolisayo Ukuwohloka isimo jikelele impilo akuyona lazy kakhulu ukuba bahlolelwe okungenani kudlule ukuhlaziywa kwamakhemikhali egazi noma omchamo. Uma imiphumela ongayethembi, uthintane ochwepheshe eziningana e inkinga okuphazamisayo. Nika impilo esiphezulu yakho ukunakwa, njalo ukulalela amasignali othunywe umzimba.

isifo ngasinye sinezici okuyinto ikakhulukazi kwenzeke esigabeni oyingozi, bese kudamba. Kuyaziwa ukuthi ifomu esicashile kusikisela ukuthi zokugula lidlule efomini ezingamahlalakhona. Kulokhu, ukwelashwa kuzoba nzima ukuthatha isikhathi esiningi nomzamo omkhulu. Ungayeki ukulwa izifo, zizungeze imizwelo eyakhayo, ukuqeda ukucindezeleka futhi melancholy. Indlela ukuze impilo enhle ngokusebenzisa lokuvikela. Hlale ukhumbula lokhu futhi zingangenwa ukugula!