I chhungte emaw, i thian emaw intensive care unit (ICU)-a awm chu "hospital-acquired infection" a vei tih i hre tawh em? A chang chuan bacteria chi khat kan sawi vang a ni a, damdawi tam tak lakah a do thei a, a hlauhawm deuh bawk. He bacteria hian mi hrisel tan harsatna lian tham a thlen lo tlangpui laiin, damdawi ina awm leh taksa hriselna chak lo nei tan chuan hlauhawm tak a ni thei.
Acinetobacter baumannii chu eng nge ni tak tak?
A awlsam zawngin hei hi bacteria chi khat a ni. Environment-ah an tam hle a, a bik takin lei leh tuiah an tam hle. Laboratory test-ah chuan he bacteria hi ``Gram-negative'' tiin an dah a ni. Chumi awmzia chu dye engemaw hmanga stain a nih chuan pink a ni tihna a ni. Chu chu kan tân a pawimawh lo mai thei a, doctor-te tân erawh a pawimawh hle.
Mahse he bacteria hi kan hlauh vek chhan ber chu a thiltihtheihna mak tak hi a ni. Chu chu antibiotics a do theihna a ni . Bacteria infection kan neih hian Doctorin antibiotics min pe thin tih kan hria. Mahse he bacteria, Acinetobacter baumannii hian antibiotics tam tak do theihna kawng a hmuchhuak ta a ni. Hei hi multidrug resistance kan ti a. Hmelma lo kal huna inthup tur bunker chi hrang hrang siam ang mai a ni. Chuvangin, he natna hrik vanga natna hrik awmte tihdam nan hian doctor-te hian harsatna lian tak an hmachhawn a ngai a ni.
Engtin nge he natna hi a kai darh? Tu nge hlauhawm ber?
He bacteria infection hi damdawi in pawn lama mipui zawng zawngah a awm lo hle. Mahse, a chang chuan damdawi in pawnah zunthlum vei, lung natna rei tak nei, emaw, taksa hriselna chak lo nei te tan a thleng thei a ni.
Mahse a hlauhawm ber chu damdawi ina awm damlote tan a ni a, a bik takin damlo nasa tak takte tan a ni. Hei hi han ngaihtuah teh: Hetiang dinhmuna ding mi chuan he natna hi a vei tam zawk a ni:
- Intensive Care Unit (ICU)-a enkawl mekte.
- Ventilator nena inzawm mipui te.
- Urinary catheter emaw venous catheter emaw nei te.
- Damdawi ina rei tak awm tawhte.
- Mite chu open surgical wound nei te an ni.
He hri kai darh theih dan ber chu damdawi ina thawktute kut hmanga, hri kai damlo khawih te, hri kai miin a khuh emaw, a khuh emaw huna boruaka lut tur droplet hmangin, damdawi hmanrua tha taka tihfai loh hmangin a ni.
He bacteria hi damdawi in hmanrua leh khum ang chi hmunah hian rei tak a dam thei a ni. Chuvangin damdawi ina faina leh thawktute kut sil ang chi thil hi a pawimawh hle a ni.
World Health Organization (WHO) pawhin he `Acinetobacter baumannii` bacteria hi mihringte tana hlauhawm ber bacteria zingah a dah tel a ni. A chhan chu a chunga kan sawi tak antibiotics te do theihna mak tak mai hi a ni.
He natna lan chhuah dan hi engte nge ni?
A natna lan chhuah dan chu taksa peng eng ber nge bacteria hian a kai tih a innghat a ni. Entirnan, lung a hrisel chuan symptom a awm lovang, mahse thluak a infect a nih chuan a awm ang.
Hei hi a hnuaia table hmang hian i sawifiah belh leh ang u.
| Infection chi hrang hrang | A sawifiahna leh a lan chhuah dan |
|---|---|
| Damdawi in atanga lo chhuak pneumonia | Hei hi he natna hrik kai tam ber a ni. A bik takin ICU-a awm emaw, ventilator-a awm emaw-ah a awm thei. A lan chhuah dan: khawsik, thawk harsa, thinlung na rang, rilru na, leh khawsik. |
| Thisen natna (Thisen natna / Sepsis) . | Bacteria chu thisenah a lut a, taksa pum puiah a darh ta a ni. Hei hi dinhmun hlauhawm tak a ni. ICU-ah chuan chutiang natna avanga thihna hlauhawmna chu 30%-40% vel a ni. A lan chhuah dan: Khawsik sang, khawsik, thawk rang, leh buai. |
| Central nervous system natna hrik kai te | Meningitis, thluak khuh tu membrane-a infection a awm thei a, a bik takin thluak operation hnuah a awm thei a ni. A lan chhuah dan chu khawsik sang, hriatna hloh, fit, kawr khauh, lu na, leh êng eng tak en theih lohna te a ni. |
| Hri kai dangte | Urinary tract infection, ruh natna, vun leh soft tissue infection, hliam natna, leh thinlung chhungril lam infection (endocarditis) te pawh a awm thei bawk. |
Hei hi engtin nge enkawl a nih?
Hei hi harsatna lian ber a ni. He bacteria hian antibiotics tam tak a do theih avangin doctor tan chuan a enkawl dan tur thlan a harsa hle.
Hei hi a thleng tlangpui chu a ni:
I doctor-in natna kai a rinhlelh chuan a natna hmun atang hian sample (e.g. thisen, phlegm, emaw hliam atanga tui) an la ang a, lab-ah an thawn ang. Hei hi ``culture'' test an ti a.
Mahse chu ``(culture)`` result chu a lo chhuah leh theih nan ni engemaw zat a ngai a ni. Damlo chu a na hle a nih chuan chutiang result chu i nghak thei lo. So the doctor starts treatment based on his best guess , damdawi ina bacteria chi hrang hrang awm tam tak leh tun hnaia antibiotics engte nge hlawhtling tawh tih a tawn dan a zirin.
Ni engemaw zat hnuah culture report a lo thlen chuan eng bacteria nge natna thlentu, eng antibiotics nge hnathawk, leh eng antibiotics nge thawk lo tih chiang takin a tarlang ang. Chumi hnuah chuan doctor chuan chu report a\ang chuan a hmaa enkawlna hman tan tawh chu thlak danglam leh thlak loh tur chu a rel ang.
A châng chuan, he bacteria hian antibiotics chak tak tak, "last resort" ``carbapenem'' ang chi lakah a do thei a ni. Chutiang hunah chuan enkawlna chu a buaithlak hle. Chuvangin, chutiang hunah chuan enkawlna chungchanga thutlukna chu i doctor kutah dah vek rawh.
Take-Home Thuchah a ni
- Acinetobacter baumannii hi bacteria infection na tak a ni a, antibiotics tam tak lakah a do thei a, damdawi inah a darh ber a ni.
- A hlauhawmna ber chu intensive care unit (ICU)-a damlo na tak, ventilator-a awm, surgery hliam nei, leh immune system chak lote tan a ni.
- Simptoms chu taksa peng hri kai (lung, thisen, thluak, etc.) ah a innghat.
- Enkawlna hi a buaithlak a, laboratory test report atanga i doctor-in a enkawl tur a ni.
- He natna laka invenna tha ber chu damdawi inah faina dan dik tak (a bik takin thawktute kut sil) khauh taka zawm hi a ni.
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