Tiyeni tiphunzire za Pseudomonas Aeruginosa, bakiteriya wofala komanso woopsa m'zipatala!

Pali mabakiteriya mamiliyoni ambiri omwe amakhala m'malo athu, makamaka m'nthaka ndi m'madzi, ndipo saoneka ndi maso. Ngakhale ambiri mwa iwo ndi osavulaza, ena ndi owopsa. Chimodzi mwa mabakiteriya amenewa ndi Pseudomonas aeruginosa. Ngakhale kuti dzinali lingamveke ngati lovuta pang'ono, ndikofunikira kuti tonse tidziwe za matenda omwe amayamba chifukwa cha mabakiteriyawa.

Mwachidule, kodi Pseudomonas ndi chiyani?

Pseudomonas ndi gulu la mabakiteriya omwe nthawi zambiri amakhala panja, m'dothi, m'madzi, komanso m'malo onyowa m'nyumba. Ngati muli ndi thanzi labwino, simuyenera kuda nkhawa kuti mudwala ndi mabakiteriyawa. Mutha kutenga ziphuphu zazing'ono pakhungu, matenda a m'khutu, kapena matenda a m'maso. Mabakiteriyawa nthawi zina angayambitse khutu la munthu wosambira, lomwe limayambitsa kupweteka kwa khutu pambuyo pa maiwe osambira, komanso matuza pakhungu mutagwiritsa ntchito mabafa otentha omwe sanatsukidwe bwino.

Kodi matendawa amalowa bwanji m'thupi mwathu?

Pali njira zingapo zomwe mabakiteriyawa angalowere m'matupi mwathu. Popeza mabakiteriyawa amatha kumera pamwamba pa zipatso ndi ndiwo zamasamba, amatha kufalikira kudzera muzakudya zodetsedwa. Komanso, mabakiteriyawa amakula bwino m'malo omwe chinyezi chimakhalapo, monga matanki, maiwe osambira, zimbudzi, ndi masinki akukhitchini. Komabe, matenda oopsa kwambiri nthawi zambiri amanenedwa m'mabungwe azaumoyo monga zipatala. Tangoganizirani, ngati zida zina zachipatala zomwe zimagwiritsidwa ntchito m'zipatala, mwachitsanzo, ma catheter kapena makina opumira , sizikutsukidwa bwino komanso kutsukidwa ndi tizilombo toyambitsa matenda, mabakiteriyawa amatha kukulira mosavuta pa izo. Komanso, ngati wogwira ntchito zachipatala sasamba m'manja mwake bwino, mabakiteriyawa amatha kufalikira mosavuta kuchokera kwa wodwala wodwala kupita kwa wodwala wina.

Malo ena odabwitsa kumene mabakiteriyawa amakhala

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Anthu omwe ali ndi matenda otsatirawa ali pachiwopsezo chachikulu chotenga matenda a Pseudomonas:

• Kwa iwo omwe ali ndi mabala otseguka omwe sanachiritsidwe atachitidwa opaleshoni.
• Kwa iwo omwe akulandira chithandizo cha kuvulala kwa moto .
• Kwa iwo omwe amagwiritsa ntchito zida zachipatala monga makina opumira ndi ma catheter.
• Kwa iwo omwe ali ndi matenda a shuga .
• Anthu omwe ali ndi matenda osatha a m'mapapo monga cystic fibrosis.
• Kwa iwo omwe ali ndi matenda omwe amafooketsa chitetezo cha mthupi, monga HIV.
• Kwa iwo omwe akumwa mankhwala oletsa chitetezo chamthupi , monga mankhwala a khansa.

Kodi zizindikiro za matenda ndi ziti?

Zizindikiro za matendawa zimadalira mbali ya thupi yomwe mabakiteriya amakhudza. Matendawa amatha kuchitika kulikonse kuyambira misomali mpaka magazi, mapapo, m'mimba, ndi mkodzo. Kuphatikiza apo, malungo ndi chizindikiro chofala cha matenda oopsa a Pseudomonas.

Kodi dokotala angadziwe bwanji ngati ndili ndi matendawa?

Dokotala wanu angakayikire izi atamvetsera zizindikiro zanu ndikukuyesani. Mwachitsanzo, ngati muwona kusintha pakhungu kapena m'maso mwanu. Kuti atsimikizire kukayikira kumeneku, adzatenga chitsanzo cha magazi anu kapena madzi ena amthupi (monga makoswe, mkodzo, kapena mafinya ochokera pabala) ndikutumiza kuti akayesedwe mu labu kapena kukonzedwa. Nthawi zina, mayeso ojambulira zithunzi monga X-ray, MRI, kapena ultrasound angachitike kuti awone ngati pali matenda mkati mwa thupi lanu. Zotsatira za mayesowa zingathandize dokotala wanu kusankha maantibayotiki omwe ndi abwino kwambiri pochiza matenda anu.

Kodi mankhwalawa amachiritsidwa bwanji? Kodi izi ndi zoopsa?

Ngati muli ndi kachilombo kakang'ono, mutha kukachiza ndi maantibayotiki omwe dokotala wanu wakupatsani. Kutengera komwe kachilomboka kali, mankhwala awa akhoza kubwera ngati kirimu, madontho oti muyike m'maso kapena m'makutu, kapena mapiritsi oti mumwe ndi kumwa. Komabe, ngati muli ndi kachilombo koopsa, mungafunike kumwa maantibayotiki kudzera m'mitsempha (IV) kwa milungu ingapo. Chifukwa mabakiteriya a Pseudomonas amasintha nthawi zonse ndipo akukhala amphamvu, matenda amatha kukhala ovuta kuchiza. Chifukwa chake, mitundu yambiri ya maantibayotiki nthawi zambiri imafunika kuti iphe mabakiteriya onse.

Kukana Mankhwala Opha Utoto

Ichi ndi vuto lalikulu kwambiri pa mabakiteriya awa. Mitundu ina ya mabakiteriya a Pseudomonas, makamaka mtundu wa CP-CRPA (Carbapenem-resistant Pseudomonas aeruginosa) , imagonjetsedwa ndi maantibayotiki ambiri omwe alipo. Imagonjetsedwanso ndi ma carbapenems, omwe ndi maantibayotiki amphamvu kwambiri omwe amaperekedwa pamene palibe mankhwala ena omwe angachiritse matendawa.

Ndi mavuto ena ati omwe angachitike chifukwa cha matenda?

• Matenda ena: Kumwa mankhwala opha tizilombo nthawi zina kungayambitse matenda ena a bakiteriya, monga Clostridioides difficile (C. diff). Zizindikiro zake ndi kutsegula m'mimba ndi kupweteka m'mimba.
• Kukana mankhwala opha tizilombo: Ngati matendawa sakuyankha mankhwala, zingayambitse kupita kwa dokotala nthawi zambiri, kugonekedwa m'chipatala, kukwera mtengo kwa mankhwala, komanso zotsatirapo zake chifukwa cha chithandizo.
• Sepsis: Iyi ndi matenda oopsa kwambiri pomwe chitetezo cha mthupi, chomwe chimayenera kulimbana ndi matenda, chimayamba kuukira ziwalo za thupi.
• Kulephera kwa ziwalo: Ngati sizikuchiritsidwa kapena chifukwa cha matenda oopsa, ziwalo zofunika kwambiri zimatha kuwonongeka.

Ndiye, kodi mungatani kuti mutetezeke ku matenda oopsawa?

Mukhoza kuchepetsa chiopsezo chanu chotenga matenda mwa kupewa kukhudzana ndi mabakiteriyawa. Kutsatira malangizo awa n'kosavuta kuposa momwe mukuganizira.

• Sambani m'manja nthawi zambiri: Iyi ndi njira yabwino kwambiri yodzitetezera. Sambani m'manja mwanu bwino ndi sopo ndi madzi. Ngati muli kuchipatala, onetsetsani kuti dokotala kapena namwino amene akukuthandizani nthawi zonse amatsuka m'manja mwawo asanakugwireni, kapena akugwiritsa ntchito mankhwala oyeretsera m'manja. Musaope kufunsa.
• Tsukani ndiwo zamasamba ndi zipatso bwino musanadye: Ngakhale letesi iyenera kutsukidwa bwino.
• Sungani mabotolo anu amadzi oyera: Tsukani ndi kuwathira ndi madzi otentha mukatha kugwiritsa ntchito.
• Tsukani zofunda ndi matawulo nthawi zambiri m'madzi otentha.
• Pewani kusuta: Kusuta kumachepetsa mphamvu ya mapapu anu yolimbana ndi majeremusi.
• Tsukani malo omwe amakhudzidwa kawirikawiri m'nyumba mwanu: zogwirira zitseko, zogwirira zotsukira chimbudzi, maswichi a magetsi, ndi zina zotero. Musaiwale foni yanu ndi laputopu.
• Pewani maiwe osambira akuda ndi mabafa otentha.
• Samalani thanzi lanu: Imwani mankhwala anu monga momwe dokotala wanu wanenera. Mukamaliza opaleshoni, yang'anirani zizindikiro za matenda. Ngati mukumva malungo, kupweteka, kapena kufiira kapena kutuluka magazi kuchokera pamalo ochitira opaleshoni , dziwitsani dokotala wanu nthawi yomweyo.

Pseudomonas aeruginosa, Pseudomonas, matenda a bakiteriya, matenda a m'chipatala, kukana maantibayotiki, khutu la kusambira