I bɛ se ka kabakoya k’a dɔn ko banakisɛ miliyari caman bɛ an farikolo kɔnɔ. Tiɲɛ don. Nin banakisɛ ninnu bɛ balo yɔrɔw la i n’a fɔ an ka banakɔtaa ani an ka bangekɔlɔsi fɛɛrɛw. U fanba bɛ ko ɲumanw kɛ, i n’a fɔ k’an dɛmɛ an ka dumuni duntaw sɔgɔ ani ka nɔ bila an dusukunnataw la. Nka tuma dɔw la, o banakisɛ dɔw bɛ se ka gɛlɛyabaw lase an ma. Bi an bɛna kuma o banakisɛ sugu dɔ kan.
Enterococci ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, kɔnɔbara basigilen ye banakisɛw kulu ye minnu bɛ balo an banakɔtaa la. Tiɲɛ na, u bɛ Se ka Sɔrɔ dugukolo kan bagan kelen-kelen bɛɛ banakɔtaa la. Hali ni suguya 17 ni kɔ bɛ nin kulu in na, suguya damadɔ dɔrɔn de bɛ bana bila hadamadenw na. Olu la, fànba fla ye:
- Ɲɛgɛnɛsiraw (E. faecalis) .
- Ɲɛgɛnɛsiraw (E. faecium) .
Gɛlɛyaba min bɛ nin banakisɛ ninnu na, o ye ko u furakɛli ka gɛlɛn kosɛbɛ. o kun ye ko banakisɛ ninnu tɛ se ka faga nɔgɔya la banakisɛfagalan gansanw fɛ . O kɔrɔ ye ko u bɛ furaw kɛlɛ kosɛbɛ .
Nin bana in bɛ sɔrɔ cogo di?
Kɔnɔnatumu suguya min ka teli ka sɔrɔ hadamadenw na, o bɛ sɔrɔ banakisɛ dɔ fɛ min bɛ wele ko Enterococcus faecalis. Nin banakisɛ in ɲɔgɔn tɛ yen, bawo a bɛ se ka balo sigida cogoya caman na, funteni ni nɛnɛba fana sen bɛ o la. Ka fara an banakɔtaa kan, nin banakisɛ in bɛ se ka balo an da la ani musow ka musoya kɔnɔ fana.
K’a sababu kɛ nin banakisɛ in seko kɛrɛnkɛrɛnnenw ye, banakisɛfagalan caman tɛ baara kɛ nin bana ninnu na. Misali la, nin banakisɛ in bɛ se ka banakisɛfagalan ninnu caman kɛlɛ:
| Banakisɛfagalan fura suguya | Misaliw |
|---|---|
| Penisilini (penisilini) minnu bɛ sɔrɔ | Penisilini, Anpisilini, Amɔkisisilini |
| Sɛfalosporini (Cɛfalosporini)w | A bɛ se ka sefalosporini fanba kɛlɛ. |
| Glikopɛpɛtidiw (glycopeptides). | Vankomisini (a bɛ fɔ fana ko Vankomisini-resistant Enterococci – VRE) . |
Kɛnɛyako gɛlɛya jumɛnw bɛ se ka sɔrɔ Enterococci fɛ?
Nin banakisɛ ninnu ka teli ka ye dɔgɔtɔrɔsow la. Jateminɛw fɛ, kɛrɛnkɛrɛnnenya la jamanaw na i n’a fɔ Ameriki, sugunɛbana , joginda , jolilabanaw, ani dusukunnabana caman bɛ fɔ san o san o banakisɛ in sababu fɛ. An ka nin banakisɛ ninnu kelen-kelen bɛɛ lajɛ u danma.
| Banakisɛ suguya | Ɲɛfɔli ni a taamasiɲɛw |
|---|---|
| Sugunɛbilenni (UTI) . | Banakisɛ min bɛ aw ka sugunɛbaralabana yɔrɔ o yɔrɔ (sugunɛ, sugunɛbaralabana, sugunɛbaralabana). Musow bɛ faratiba la. Bana taamasiyɛnw: – A ka kan ka to ka koli kɛ – Jenini ni dimi ni koli bɛ kɛ – Sugunɛ min bɛ kɛ sankaba, bilen, bulama, walima dibi la – Kɔnɔbara duguma dimi |
| Joginda banakisɛw | Tigɛw, sɔgɔsɔgɔninjɛ, baganw ka kinni, joginda sirilenw, a ɲɔgɔnnaw banakisɛw bɛ se ka sɔrɔ a ka ca sanga 24-72 kɔnɔ. Bana taamasiyɛnw: – Pus bɔli joginda la – Ka bilenni jɛnsɛn joginda lamini na – Dimi ni funu bɛ caya - Farigan – Nɔgɔmugu funu |
| Banakisɛ minnu bɛ don joli la (Bacteremia) . | Banakisɛ min bɛ farikolo la (misali la, sugunɛbaralabana) bɛ jɛnsɛn joli la. nin ye bana ye min farati ka bon kosɛbɛ . Bana taamasiyɛnw: – Sumaya ni farigan – Dusukunnata, fɔɔnɔ – Ninakili gɛlɛya, dusukun tantanni teliya – Hakilijagabɔ walima hakili bɔli |
| Dusukun tantanni (Endocardite) . | Banakisɛ minnu bɛ jɛnsɛn joli fɛ, olu bɛ se ka nɔrɔ dusukun ni dusukun dawolo lamini na, ka banakisɛ bila mɔgɔ la. nin fana ye bana juguba ye . Bana taamasiyɛnw: – Farigan walima mura taamasiɲɛw, i n’a fɔ farigan, farikolodimi, ani sufɛ sumaya – Dusukun kura dɔ ka ŋunuŋunu – Kuru misɛnniw bɛ kɛ bolow walima senw na |
Nin banakisɛ in bɛ jɛnsɛn cogo di?
E. faecalis banakisɛw ka teli ka jɛnsɛn dɔgɔtɔrɔsow la. o kunba ye ko banabagatɔ minnu bɛ dɔgɔtɔrɔso la , olu farikolo tangacogo fanga dɔgɔyara .
A ka ca a la, nin banakisɛ in bɛ sɔrɔ dɔgɔtɔrɔso baarakɛlaw fɛ. U dɔw bɛ se ka balo u banakɔtaa la k’a sɔrɔ u ma taamasiɲɛ foyi lase u ma. Ani fana, nin banakisɛ in bɛ se ka jɛnsɛn banabagatɔw la furakɛli minɛn dɔw fɛ minnu bɛ kɛ dɔgɔtɔrɔsow la.
O de kama a nafa ka bon kosɛbɛ dɔgɔtɔrɔsow ka saniya, banakisɛfagalanw ani sterilize sariyaw labato kosɛbɛ. Dɔgɔtɔrɔso minnu na o fɛɛrɛ suguw bɛ kɛ ka ɲɛ, o bana suguw jɛnsɛnni farati ka dɔgɔn kosɛbɛ.
Nin banakisɛ ninnu bɛ furakɛ cogo di?
I n’a fɔ an y’a fɔ cogo min na ka tɛmɛ, banakisɛ minnu bɛ sɔrɔ E. faecalis fɛ, olu furakɛli ka gɛlɛn barisa nin banakisɛ in bɛ se ka banakisɛfagalan caman kɛlɛ.
O la, dɔgɔtɔrɔw ka teli ka furakɛli kɛ ni fura suguya fila faralen ye ɲɔgɔn kan. Misali la, fura min bɛ banakisɛw ka selilɛri kogo minɛ (misali la, penisilini, anpisilini, vankomisini) bɛ di ɲɔgɔn ma ni aminoglycoside ye (misali la, jentamicine, streptomycine).
Nka, bana minnu ka jugu kosɛbɛ, i n’a fɔ faritanabanaw ni dusukunnabana (endocardite), olu bɛ se ka furaw faralen ɲɔgɔn kan cogo wɛrɛ la. Nka, bana minnu bɛ i n’a fɔ sugunɛbilenni (UTI) furakɛli ka nɔgɔn kosɛbɛ. Banakisɛfagalan kelen, i n’a fɔ anpisilini, o bɛ se ka kɛ.
Min nafa ka bon kosɛbɛ, o ye ko barisa ninnu ye bana jugumanbaw ye, ni nin taamasiɲɛ ninnu bɛ aw la, kɛrɛnkɛrɛnnenya la aw kɛlen kɔ ka don dɔgɔtɔrɔso la, aw ka kan ka taa dɔgɔtɔrɔso la joona.Aw kana a ɲini abada ka aw yɛrɛ furakɛ. Furakɛli ka kan ka latigɛ dɔrɔn dɔgɔtɔrɔ fɛ aw ka bana sɛgɛsɛgɛlen kɔfɛ.
Take-Home cikan
- Enterococci ye banakisɛ suguya ye min bɛ balo an banakɔtaa la, nka a dɔw la, u bɛ se ka bana jugumanw lase mɔgɔ ma.
- Nin bana ninnu ka teli ka kɛ dɔgɔtɔrɔso la banabagatɔw la, wa u furakɛli ka gɛlɛn barisa u tɛ se ka banakisɛfagalan caman kɛlɛ.
- Bana suguya caman bɛ se ka sɔrɔ, k’a ta sugunɛbaralabanaw ni jogindabanaw la ka se joli ni dusukunnabanaw ma minnu bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la (`Bacteremia`, `Endocarditis`).
- Saniya wale gɛlɛnw labatoli dɔgɔtɔrɔsow la, o nafa ka bon kosɛbɛ walasa ka nin bana ninnu kunbɛn.
- Ni bana taamasiɲɛw bɛ aw la i n’a fɔ farigan, joginda, walima sugunɛbaralabana, kɛrɛnkɛrɛnnenya la aw bɔlen kɔ dɔgɔtɔrɔso la, aw bɛ dɔgɔtɔrɔso laadilikan ɲini ka sɔrɔ aw ma mɛn.
Enterococci, Enterococcus faecalis, banakisɛw, dɔgɔtɔrɔso banakisɛw, banakisɛfagalanw tali, sugunɛbaralabana, joginda banakisɛw
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