Vim li cas cov tshuaj qee zaum tsis ua haujlwm? (Kev Tiv Thaiv Kab Mob) Cia peb kawm txog nws yooj yim!

Koj puas muaj tej lub sij hawm koj xav tias, "Auj, lub sij hawm no cov tshuaj yuav tsis ua rau tus kab mob ploj mus?" Los yog koj puas tau muaj ib rooj plaub uas koj tseem noj cov tshuaj uas koj tus kws kho mob tau sau tseg, tab sis koj tus kab mob tsis ploj mus? Tej zaum qhov laj thawj rau qhov no nyuaj me ntsis dua li koj xav. Hnub no peb yuav tham txog ib qho tseem ceeb heev. Qhov ntawd yog tus mob hu ua Antimicrobial Resistance .

Kev Tiv Thaiv Kab Mob Antimicrobial yog dab tsi?

Hais yooj yim xwb, kev tiv thaiv tshuaj tua kab mob yog qhov uas tshuaj tsis muaj peev xwm ua haujlwm tawm tsam cov kab mob me me . Cov kab mob me me no yog cov kab mob me me, tsis pom. Feem ntau peb hu lawv ua "kab mob." Cov no suav nrog cov kab mob bacteria, fungi, viruses, thiab parasites . Cov kab mob no ua rau muaj ntau yam kab mob. Yog li, thaum qhov kev tiv thaiv tshuaj tua kab mob no tshwm sim, nws nyuaj heev rau cov kws kho mob kho qee yam kab mob.

Xav txog nws li no. Thaum ib tug kab mob raug tshuaj tib yam ntau zaus, nws yuav "tsis kam" rau nws. Ib yam li peb, lawv nrhiav txoj hauv kev los tiv thaiv lawv tus kheej. Lawv hloov pauv lawv lub cev, ua rau lawv muaj peev xwm khiav tawm ntawm cov tshuaj uas tau siv los tua lawv lossis tiv thaiv lawv kom tsis txhob loj hlob. Qhov no yog qhov peb hu ua "kev tsis kam." Muaj cov kab mob uas tsis yog tiv taus ib yam tshuaj xwb, tab sis kuj tiv taus ntau yam tshuaj. Peb hu lawv ua "superbugs."

Qhov tseem ceeb yog tias qhov kev tiv thaiv tshuaj tua kab mob no tshwm sim hauv cov kab mob, tsis yog hauv koj lub cev. Tsis yog koj lub cev uas tiv taus cov tshuaj, tab sis yog cov kab mob uas ua rau muaj kab mob uas tiv taus cov tshuaj.

Cov tshuaj tua kab mob no yog dab tsi?

Cov tshuaj tua kab mob yog cov tshuaj uas tua cov kab mob uas ua rau muaj kev kis kab mob. Muaj ntau hom tshuaj tseem ceeb:

• Tshuaj tua kab mob: Cov no yog muab rau cov kab mob bacterial.
• Cov Tshuaj Antifungal: Cov tshuaj muab rau cov kab mob fungal.
• Tshuaj Tiv Thaiv Kab Mob: Cov tshuaj uas muab rau cov kab mob uas ua rau muaj kab mob (piv txwv li, tshuaj uas muab rau kab mob malaria).
• Cov Tshuaj Tiv Thaiv Kab Mob: Cov tshuaj uas muab rau cov kab mob viral (piv txwv li, rau cov kab mob xws li mob khaub thuas).

Cov tshuaj tua kab mob no ua haujlwm sib txawv los tua cov kab mob lossis tiv thaiv lawv kom tsis txhob kis mus rau lwm tus. Qee zaum lawv nkag mus rau hauv cov qe ntawm cov kab mob thiab tawm tsam cov khoom uas pab cov kab mob ua rau koj mob, lossis lawv tawm tsam cov khoom uas pab cov kab mob ua ntau daim qauv ntawm nws tus kheej.

Xav txog qhov piv txwv no. Koj nyob hauv chav ua noj ua haus. Kuv xav kom koj nres. Ces kuv tuaj yeem nkag mus rau hauv koj chav ua noj thiab rhuav tshem cov khoom xyaw uas koj siv los ua zaub mov, lossis txwv koj tsis pub siv lub qhov cub.

Yog li, thaum lawv tiv taus cov kab mob, lawv tuaj yeem ua tej yam xws li:

• Kuv tuaj yeem tiv thaiv (uas yog, cov tshuaj) kom tsis txhob nkag mus rau hauv chav ua noj (uas yog, cov qe menyuam).
• Koj tuaj yeem pov kuv tawm ntawm chav ua noj.
• Kuv muaj peev xwm rhuav tshem cov riam phom (cov khoom xyaw nquag hauv cov tshuaj) uas kuv siv los nres lawv lub vaj.
• Kuv hloov tau tej yam uas kuv tsom mus rau (cov qhov ntawm cov kab mob) kom kuv cov riam phom (tshuaj kho mob) tsis ua haujlwm. Piv txwv li, lawv hloov cov khoom xyaw uas lawv siv me ntsis, lossis lawv hloov lub qhov cub kom kuv thiaj li thaiv tsis tau.
• Lawv hloov txoj kev ua zaub mov, tej zaum siv cov khoom xyaw sib txawv lossis ua zaub mov yam tsis siv qhov cub.

Qhov kev tiv thaiv tshuaj tua kab mob no ua haujlwm li cas?

Muaj ntau yam laj thawj tseem ceeb uas ua rau cov tshuaj tsis ua haujlwm vim yog kev tiv thaiv tshuaj tua kab mob:

• Cov tshuaj no tiv thaiv cov kab mob kom tsis txhob nkag mus rau hauv lub cell, zoo li lub qhov rooj kaw.
• Cov tshuaj uas nkag mus rau hauv cov kab mob raug thawb rov qab tawm.
• Yog cov tshuaj hloov pauv los yog nws ua puas tsuaj.
• Lawv hloov ib feem ntawm cov kab mob nws tus kheej, yog li cov tshuaj tsis tuaj yeem tsom mus rau nws.
• Lawv nrhiav tau txoj hauv kev los ua neej nyob lossis yug me nyuam hauv txoj kev tshiab uas tsis muaj feem cuam tshuam nrog tshuaj.

Cov hom kev tiv thaiv tshuaj tua kab mob yog dab tsi?

Kev tiv thaiv tshuaj tua kab mob muaj ob hom tseem ceeb: kev tiv thaiv sab hauv thiab kev tiv thaiv sab nraud/tau txais . Thaum peb feem ntau tham txog "kev tiv thaiv tshuaj," peb hais txog qhov kev tiv thaiv tau txais no.

• Kev tiv thaiv sab hauv: Qhov no txhais tau tias qee cov kab mob muaj peev xwm tiv taus qee cov tshuaj. Nws yog ib qho yam ntxwv ntawm cov kab mob ntawd. Piv txwv li, qee hom kab mob muaj phab ntsa cell muaj zog heev uas qee cov tshuaj tua kab mob tsis tuaj yeem nkag mus.
• Kev tiv thaiv tau los (Kev tiv thaiv sab nraud): Qhov no yog thaum ib tug kab mob hloov nws tus kheej thiab tiv taus cov tshuaj uas ua haujlwm yav dhau los. Thaum tus kab mob kis kab mob, cov kev hloov pauv no raug xa mus rau nws cov xeeb ntxwv. Tsis tas li ntawd, qee cov kab mob tuaj yeem xa cov kev hloov pauv no mus rau lwm cov kab mob uas nyob ze rau lawv. Qhov no hu ua (kev hloov pauv noob caj noob ces kab rov tav) .

Qee cov piv txwv ntawm kev tiv thaiv tshuaj tua kab mob

Nov yog qee qhov piv txwv ntawm kev tiv thaiv tshuaj tua kab mob:

• Cov kab mob uas tiv taus tshuaj tua kab mob: Piv txwv li suav nrog cov kab mob xws li (MRSA - Methicillin-resistant Staphylococcus aureus), (CREs - Carbapenem-resistant Enterobacterales), thiab (Pseudomonas aeruginosa).
• Cov kab mob fungal uas tiv taus cov tshuaj tua kab mob fungal: Piv txwv li (Candida auris) thiab (Aspergillus fumigatus).
• Cov kab mob uas tiv taus cov tshuaj tua kab mob: Piv txwv li suav nrog HIV, mob khaub thuas, thiab qee hom kab mob Hepatitis C.
• Cov kab mob uas tiv taus cov tshuaj tua kab mob: Piv txwv li, qee hom kab mob uas ua rau muaj kab mob malaria, leishmaniasis, thiab trypanosomiasis.

Tiam sis nco ntsoov qhov no. Tsuas yog vim koj muaj mob nyob rau hauv daim ntawv teev npe no tsis tau txhais hais tias nws yog tus kab mob uas tiv taus tshuaj. Muaj cov kab mob no uas tiv taus tshuaj, thiab muaj cov kab mob ib txwm uas tsis tiv taus.

Dab tsi yog qhov ua rau muaj kev tiv thaiv tshuaj tua kab mob tseem ceeb?

Cov kab mob tsis yog vim ib qho laj thawj xwb, tab sis vim ntau yam. Qee zaum, lawv hloov pauv raws li ntuj tsim, ua rau lawv nyob ua ke nrog lwm yam kab mob. Lwm lub sijhawm, lawv tsim cov txheej txheem tiv thaiv los tiv thaiv lawv tus kheej ntawm cov tshuaj. Thaum cov kab mob kis mus, cov kev hloov pauv no uas pab lawv tiv thaiv cov tshuaj raug xa mus rau lawv tiam neeg tom ntej.

Feem ntau, qhov kev tiv thaiv tshuaj tua kab mob no tshwm sim hnyav tshaj plaws hauv cov tsev kho mob thiab cov chaw kho mob. Vim tias muaj ntau hom tshuaj sib txawv siv rau hauv cov chaw ntawd, cov kab mob tshwj xeeb tshaj yog tiv taus cov tshuaj ntawd. Qhov no yog ib yam dab tsi uas nyuaj heev rau tiv thaiv.

Tsis tas li ntawd, kev siv tshuaj tua kab mob hauv kev ua liaj ua teb (piv txwv li txau cov tshuaj tua kab mob rau cov qoob loo, muab tshuaj tua kab mob rau tsiaj) yog ib qho laj thawj tseem ceeb rau kev txhim kho qhov kev tiv thaiv no.

Peb yuav ua li cas thiaj tiv thaiv tau qhov kev tiv thaiv tshuaj tua kab mob no?

Muaj cov lus qhia tshwj xeeb uas cov kws kho mob, suav nrog cov kws kho mob thiab cov kws tu mob, yuav tsum ua raws li kom tiv thaiv kev tiv thaiv kab mob no. Ib txhia ntawm lawv suav nrog:

• Ntxuav koj txhais tes kom huv si.
• Tua kab mob rau saum npoo.
• Tsuas yog sau tshuaj tua kab mob rau cov kab mob bacterial xwb ( tshuaj tua kab mob tsis muaj txiaj ntsig rau cov kab mob viral, piv txwv li, mob khaub thuas).
• Kev tua kab mob kom huv ntawm cov khoom siv kho mob.
• Tshuaj xyuas cov neeg mob thiab cov qhua tuaj xyuas tsev kho mob yog tias muaj kev xav tias muaj kev kis tus kab mob uas tiv taus.
• Kev cais tawm/cais cov neeg uas muaj kab mob tiv taus kom tiv thaiv lawv kom tsis txhob kis mus rau lwm tus.

Txawm hais tias cov kws kho mob thiab cov neeg ua haujlwm hauv tsev kho mob ua cov no los xij, muaj ntau yam uas koj tuaj yeem ua tau los pab nrog qhov no thiab.

Tej yam koj ua tau:

• Noj tag nrho cov tshuaj uas koj tus kws kho mob tau sau tseg, raws nraim li tau sau tseg, thiab raws sijhawm.
• Tshwj xeeb tshaj yog thaum noj tshuaj tua kab mob , nco ntsoov ua kom tiav tag nrho cov kev kho mob uas tus kws kho mob tau sau tseg.Txawm tias koj zoo dua tom qab ob lossis peb hnub los xij, tsis txhob tsum noj tshuaj. Yog tias koj ua li ntawd, cov kab mob uas tsis tuag tag yuav rov qab muaj zog dua thiab yuav tsis kam noj tshuaj.
• Tsis txhob noj tshuaj tua kab mob tsuas yog tias koj tsis xav tau tiag tiag. Feem ntau cov kab mob ua pa, xws li mob khaub thuas thiab mob ntsws, yog los ntawm cov kab mob. Cov tshuaj tua kab mob tsis kho tau lawv. Yog li ntawd, tsis txhob yuam koj tus kws kho mob kom sau tshuaj tua kab mob rau koj.
• Tsis txhob siv lwm tus neeg cov tshuaj. Cov tshuaj uas muab rau ib tug phooj ywg tej zaum yuav tsis ua haujlwm rau koj.
• Ntxuav koj txhais tes kom huv si nrog xab npum thiab dej tsis tu ncua. Qhov no yog ib qho yooj yim tshaj plaws uas tuaj yeem pab tiv thaiv ntau yam kab mob.

Koj sim seb puas tiv taus tshuaj tua kab mob li cas?

Yog tias koj muaj ib qho kab mob uas tsis teb rau tshuaj, koj tus kws kho mob yuav xav tias koj muaj kab mob uas tsis kam tiv thaiv. Tom qab ntawd lawv yuav sim ntau hom tshuaj tiv thaiv kab mob uas ua rau muaj kab mob. (Qhov no ua tiav los ntawm kev coj koj cov ntshav lossis lwm cov kua dej hauv lub cev.) Qhov no tuaj yeem pab lawv nrhiav tau tshuaj uas ua haujlwm rau koj qhov kab mob. Tab sis cov kev kuaj no qee zaum yuav siv sijhawm ntev.

Koj kho tus kab mob uas tshwm sim los ntawm cov kab mob uas tiv taus tshuaj tua kab mob li cas?

Cov kab mob uas tiv taus tshuaj tua kab mob yog qhov txaus ntshai heev vim tias lawv nyuaj kho heev. Cov kws kho mob sim nrhiav cov tshuaj uas ua haujlwm tawm tsam cov kab mob tshwj xeeb uas ua rau muaj kev kis kab mob. Qee zaum koj yuav tsum noj ntau yam tshuaj sib xyaw ua ke. Piv txwv li, noj ntau hom tshuaj tua kab mob ua ke.

Leej twg muaj feem yuav kis tau tus kab mob uas tsis kam siv tshuaj tua kab mob ntau dua?

Tej zaum koj yuav muaj feem yuav kis tau tus kab mob uas tiv taus tshuaj yog tias koj:

• Yog koj muaj ib txoj catheter, ib txoj raj ua pa, lossis ib txoj raj pub mov ntxig rau hauv koj lub cev, cov kab mob tuaj yeem nkag mus rau hauv koj lub cev tau yooj yim los ntawm cov no.
• Yog tias koj tau noj tshuaj tua kab mob ntev lawm, lossis yog tias koj siv lawv ntau zaus. Kev siv tshuaj tua kab mob ntev ntev ua rau muaj feem ntau uas cov kab mob yuav tiv taus tshuaj. Qhov no tuaj yeem tua cov kab mob "zoo" (tsis ua rau muaj teeb meem) hauv koj lub cev, ua rau lwm cov kab mob loj hlob tsis tau thiab ua rau muaj kev kis kab mob.
• Yog tias koj lub cev tiv thaiv kab mob tsis muaj zog vim muaj mob nkeeg. Piv txwv li, yog tias koj muaj tus kab mob HIV, mob qog ntshav, lossis mob ntshav qab zib, lossis yog tias koj tau hloov pauv lub cev lossis hloov cov noob hlwb. Hauv cov mob no, koj lub cev muaj lub sijhawm nyuaj dua los tawm tsam cov kab mob.
• Yog koj nyob hauv tsev kho mob ntev lossis nyob hauv ib qho chaw saib xyuas neeg mob mus sij hawm ntev.Cov kab mob tuaj yeem yooj yim tsim kev tiv thaiv hauv cov chaw kho mob.

Thaum kawg, kuv yuav tsum hais tias ...

Cov kws kho mob thiab cov kws tshawb fawb tab tom ua haujlwm tsis muaj zog los nrhiav kev daws teeb meem ntawm kev tsis kam siv tshuaj tua kab mob. Tab sis peb txhua tus tuaj yeem ua peb lub luag haujlwm. Qhov tseem ceeb tshaj plaws yog noj koj cov tshuaj raws nraim li koj tus kws kho mob tau sau tseg, thiab tsuas yog thaum koj xav tau lawv tiag tiag, tshwj xeeb tshaj yog cov tshuaj tua kab mob . Yog tias koj tab tom saib xyuas ib tus neeg uas muaj lub cev tiv thaiv kab mob tsis muaj zog, lossis ib tus neeg nyob hauv tsev kho mob lossis chaw saib xyuas mus sij hawm ntev, yuav tsum ceev faj ntxiv. Nco ntsoov, txawm tias tej yam me me xws li ntxuav koj txhais tes tuaj yeem ua qhov sib txawv loj. Cia peb txhua tus ua haujlwm ua ke los tawm tsam qhov teeb meem no.

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