Tiyeni tiphunzire za matenda a Pseudomonas Aeruginosa. Kodi izi zingakukhudzeninso inunso?

Kodi mudamvapo za bakiteriya wotchedwa `Pseudomonas`? Mwina ayi, sichoncho? Koma ndi mtundu wa bakiteriya womwe ungakhale m'malo athu, makamaka m'malo onyowa, m'madzi, ndi m'nthaka. Nthawi zina amatha kukhala pakhungu lathu, koma osayambitsa matenda. Lero tikulankhula za `Pseudomonas aeruginosa (P. aeruginosa)`, mtundu waukulu womwe umayambitsa matenda mwa anthu. Ngakhale izi ndi zovuta pang'ono, tiyeni tikambirane mwachidule.

Kodi matenda a Pseudomonas awa ndi otani?

Mwachidule, matenda a Pseudomonas ndi matenda omwe amayamba chifukwa cha mitundu yosiyanasiyana ya mabakiteriya otchedwa Pseudomonas. Mwa awa, Pseudomonas aeruginosa (P. aeruginosa) ndi matenda omwe amapezeka kwambiri mwa anthu. Mabakiteriyawa amapezeka m'chilengedwe, makamaka m'madzi, zomera, ndi nthaka. Amapezekanso m'malo onyowa monga m'bafa ndi m'masinki. Nthawi zina, mabakiteriyawa amatha kukhala pakhungu lanu, koma osayambitsa matenda aliwonse. Madokotala amatcha vutoli kukhala bacterial colonization.

Komabe, ngati mutalandira matenda a Pseudomonas aeruginosa, zimakhala zovuta pang'ono kuchiza. Izi zili choncho chifukwa mabakiteriyawa asintha kuti azolowere chithandizo pakapita nthawi. Izi zikutanthauza kuti maantibayotiki ena omwe nthawi zambiri amaperekedwa pa matenda amtunduwu sangagwire ntchito pa mabakiteriyawa. Timatcha izi kuti kukana maantibayotiki.

Kodi matenda a Pseudomonas aeruginosa ndi oopsa bwanji?

Zimatengera thanzi lanu. N'zosowa kwambiri kuti munthu amene ali ndi chitetezo chamthupi chabwino atenge matenda a Pseudomonas aeruginosa. Komabe, ngati chitetezo chamthupi chanu chafooka (chosagwira ntchito bwino), izi zitha kukhala matenda oopsa kwambiri, omwe mwina akhoza kupha munthu.

Nazi zifukwa zina zomwe zimapangitsa kuti chitetezo cha mthupi chifooke:

• Matenda a autoimmune - mwachitsanzo, lupus kapena rheumatoid arthritis.
• 'Khansa'.
• Matenda a cystic fibrosis.
• Matenda a shuga.
• 'HIV' ndi 'AIDS'.
• Matenda a impso.
• Matenda a chiwindi.
• Kusamutsa ziwalo - mwachitsanzo, kusamutsa mtima kapena kusamutsa mapapo.
• Mimba.
• Kupsa kwambiri.
• Kuchitidwa opaleshoni.

Pazochitika ngati izi, chitetezo cha mthupi chimakhala chofooka, zomwe zimapangitsa kuti mabakiteriya monga Pseudomonas azitha kuukira mosavuta.

Kodi Pseudomonas aeruginosa ndi mtundu wa sepsis?

Ayi, `Pseudomonas aeruginosa` si mtundu wa `sepsis`. Komabe, matenda a `Pseudomonas aeruginosa` angayambitse `sepsis`.

Sepsis ndi vuto lachipatala. Apa ndiye pamene chitetezo cha mthupi lanu chimasiya kulimbana ndi matenda ndipo chimayamba kuukira minofu ndi ziwalo zanu zathanzi. Kafukufuku wasonyeza kuti mabakiteriya a P. aeruginosa ndi omwe amachititsa kwambiri sepsis mwa anthu omwe ali ndi zilonda zoopsa.

Kodi matenda a Pseudomonas aeruginosa ndi otani?

Bakiteriya ya `Pseudomonas aeruginosa` ingayambitse matenda osiyanasiyana. Ena mwa iwo ndi awa:

• Matenda a m'magazi (septicemia) - Izi ndi zoopsa kwambiri.
• Matenda a m'makutu - Izi zingayambitse matenda a m'makutu, makamaka khutu la osambira.
• Matenda a maso - Chiwopsezochi chimakhala chachikulu kwa anthu omwe amagwiritsa ntchito ma contact lens omwe sanatsukidwe bwino.
• Matenda a m'mapapo (chibayo) - Izi zitha kukhala zoopsa kwambiri kwa anthu omwe ali m'chipatala komanso omwe ali ndi chitetezo chamthupi chofooka.
• Matenda a pakhungu (cellulitis) - Izi zitha kuchitika kudzera m'mabala ndi kupsa.
• Matenda a mkodzo (UTIs) - Izi ndi zoopsa makamaka kwa anthu omwe ali ndi catheter.

Si zokhazo, komanso zingayambitse matenda m'mimba mwanu (GI). Izi zikuphatikizapo pakamwa panu, m'mero, m'mimba, m'matumbo ang'onoang'ono, m'matumbo akulu, ndi m'matumbo.

Kodi matenda a Pseudomonas ndi ofala bwanji?

Matenda a Pseudomonas ndi ofala kwambiri. Mu 2017, kafukufuku adawonetsa kuti anthu opitilira 32,000 adadwala ndi P. aeruginosa. Koma musachite mantha. Nthawi zambiri, matendawa amapezeka mwa anthu omwe ali ndi matenda enaake.

Kodi zizindikiro za matenda a Pseudomonas aeruginosa ndi ziti?

Zizindikiro zimadalira komwe kachilombo ka Pseudomonas aeruginosa kakufalikira m'thupi lanu. Tiyeni tiwone zizindikiro zomwe zili m'dera lililonse.

Ngati pali matenda m'magazi:

• Kuzizira.
• Kumva kutopa kwambiri (kutopa).
• Malungo.
• Kupweteka kwa mafupa.
• Kuthamanga kwa magazi pang'ono (hypotension).
• Kupweteka kwa minofu.

Ngati muli ndi matenda a m'khutu:

• Kupweteka kwa khutu.
• Kutuluka madzi ngati madzi kuchokera m'khutu.
• Makutu oyabwa.
• Kutupa kwa khutu.
• Kutaya kumva.

Ngati muli ndi matenda a m'mimba (GI):

• Mutu .
• Kutsegula m'mimba.
• Kusanza ndi kusanza.

Ngati muli ndi matenda a maso:

• Kutupa.
• Ululu.
• Mafinya.
• Maso ofiira.
• Kutupa kwa maso.
• Kutaya masomphenya mwadzidzidzi -Ichi ndi chizindikiro choopsa kwambiri, muyenera kupita kwa dokotala nthawi yomweyo.

Ngati pali matenda m'mapapo:

• Kuzizira.
• Chifuwa.
• Kuvuta kupuma.
• Malungo.

Ngati pali matenda a pakhungu:

• Ziphuphu zomwe zasintha mtundu (zofiira, zofiirira, kapena zofiirira).
• Chilonda chomwe chili ndi fungo loipa ndipo chikutulutsa madzi oyera kapena a pinki.
• Kuyabwa.
• Matumbo oyera kapena achikasu odzaza ndi mafinya (matumbo).

Ngati muli ndi matenda a mkodzo:

• Kufuna kukodza mwadzidzidzi kapena kosalamulirika ndi vuto la kulephera kudziletsa.
• Kulephera kudziletsa mkodzo.
• Ululu wozungulira chiuno.
• Ululu pokodza (dysuria).
• Kukodza pafupipafupi.

Ngati muli ndi chimodzi mwa zizindikirozi, makamaka ngati mukudziwa kuti chitetezo cha mthupi lanu ndi chofooka, ndi bwino kupita kuchipatala nthawi yomweyo.

Kodi n’chiyani chimayambitsa matenda a Pseudomonas?

Matendawa angayambitsidwe ndi mitundu yambiri ya mabakiteriya omwe ali m'gulu la `Pseudomonas`. Mwa awa, `P. aeruginosa` ndiye amene amachititsa kwambiri matendawa. Mabakiteriyawa amatha kukula ndikufalikira m'njira zambiri. Mwachitsanzo:

• Kudzera m'madzi: masinki, mabafa, maiwe osambira, mabafa otentha, chinyezi chochokera ku ma air conditioner (zofewetsa mpweya), ndi malo onyowa m'makhitchini.
• Kuchokera mu nthaka.
• Kuchokera ku chakudya: Kuchokera ku chakudya chosadetsedwa, chosasamba.
• Kuchokera ku zipangizo zachipatala zoipitsidwa: Mwachitsanzo, ngati zinthu monga ma ventilator kapena ma catheter a mkodzo omwe amagwiritsidwa ntchito m'zipatala sanatsukidwe bwino.
• Kukhudza khungu ndi khungu: Mwa kukhudza khungu la munthu amene ali ndi kachilomboka kapena kukhudza malo omwe ali ndi kachilomboka kenako n’kukhudza maso anu, pakamwa, kapena mbali zina za thupi lanu.

Kodi matenda a Pseudomonas aeruginosa ndi otani?

Inde, Pseudomonas aeruginosa imatha kufalikira kuchokera kwa munthu wina kupita kwa wina. Nthawi zambiri imafalikira kudzera m'malo oipitsidwa kapena m'manja odetsedwa. Ichi ndichifukwa chake ndikofunikira kusamba m'manja nthawi zambiri.

Ndani amene amakhudzidwa kwambiri ndi matenda a Pseudomonas aeruginosa?

Pseudomonas aeruginosa ndi mabakiteriya ofala omwe amapezeka m'malo athu. Komabe, anthu ambiri omwe ali ndi chitetezo chamthupi chabwino sangatenge matendawa mosavuta. Muli ndi mwayi waukulu wotenga matendawa ngati chitetezo chanu chamthupi chafooka . Chimapezekanso m'zipatala. Kafukufuku wina akusonyeza kuti mpaka 33% ya odwala omwe ali m'chipatala akhoza kukhala ndi P. aeruginosa.

Kodi mavuto a matenda a Pseudomonas aeruginosa ndi otani?

Bakiteriya wa Pseudomonas aeruginosa angayambitse matenda omwe angawononge moyo . Izi zitha kufalikira ku ziwalo zina za thupi, zomwe zimayambitsa matenda oopsa monga sepsis ndi kulephera kwa ziwalo.

Komanso, matenda a Pseudomonas aeruginosa amatha kukhala osagonjetsedwa ndi maantibayotiki. Izi zikutanthauza kuti maantibayotiki omwe madokotala nthawi zambiri amapereka pochiza matenda sangaphe mabakiteriya. Ngati mumwa maantibayotiki a matenda a Pseudomonas aeruginosa, mungakhalenso ndi mwayi waukulu wopeza matenda a Clostridium difficile (C. diff).

Kodi matenda a Pseudomonas aeruginosa amapezedwa bwanji?

Dokotala akhoza kuzindikira matenda a Pseudomonas aeruginosa mwa kutenga mbiri yanu yachipatala, kufunsa za zizindikiro zanu, ndikuyesa thupi. Kuyezetsa thupi kumeneku kungaphatikizepo:

• Kumvetsera mtima ndi mapapo anu pogwiritsa ntchito stethoscope (auscultation).
• Kukhudza mimba yako.
• Kuyang'ana khungu lanu.
• Kuyang'ana maso anu.

Adzayitanitsanso mayeso kuti atsimikizire kuti matendawa ndi otani.

Ndi mayeso amtundu wanji omwe amachitidwa?

Dokotala wanu angakupatseni mayeso ojambulira zithunzi kuti aone zizindikiro za matenda ena m'thupi lanu. Izi zingaphatikizepo:

• `Ma X-ray`.
• Ultrasound.
• Chithunzi cha Magnetic Resonance (MRI).
• `Kujambula kwa CT (Computed Tomography)`.

Angatengenso zitsanzo za madzi kapena minofu ya thupi lanu ndikuzitumiza ku labu kuti akaone ngati pali mabakiteriya a Pseudomonas.

Kodi matenda a Pseudomonas aeruginosa amachiritsidwa bwanji?

Dokotala nthawi zambiri amalemba mankhwala opha tizilombo toyambitsa matenda a Pseudomonas aeruginosa. Akhoza kulemba mankhwala amodzi kapena angapo mwa awa:

• `Aztreonam`
• `Carbapenems`
• `Ceftazidime`
• `Ciprofloxacin`
• `Gentamicin`
• `Ticarcillin`
• Mankhwala a 'Ureidopenicillin'

Mungathe kumwa maantibayotiki awa ngati mapiritsi, monga mafuta odzola, madontho a m'maso, kapena kudzera m'mitsempha. Kutengera ndi kuopsa kwa matenda anu, mungafunike kumwa maantibayotiki kwa milungu ingapo, kapena miyezi ingapo.

Chinthu chofunika kwambiri ndi ichi:Matenda a Pseudomonas aeruginosa akuchulukirachulukira kukana mitundu yambiri ya maantibayotiki, makamaka ngati mutadwala matenda kuchipatala kapena kuchipatala china. Chifukwa chake, ndikofunikira kumwa maantibayotiki nthawi yonse ya chithandizo monga momwe dokotala wanu wanenera. Musasiye kumwa mankhwala ngakhale mutamva bwino. Ngati simutero, matenda a Pseudomonas aeruginosa angabwererenso ndipo angakhale ovuta kuchiza.

Pseudomonas aeruginosa (CRPA) yosagonjetsedwa ndi carbapenem

Gulu laling'ono la mabakiteriya a Pseudomonas aeruginosa limalimbana ndi maantibayotiki a carbapenem. Timawatcha kuti Pseudomonas aeruginosa (CRPA) yolimbana ndi carbapenem. Amapanga ma enzyme otchedwa carbapenemases. Ma enzyme amenewa amaletsa carbapenem ndi maantibayotiki ena a beta-lactam kugwira ntchito. Maantibayotiki ambiri omwe alipo pano sagwira ntchito pa ma CRPA opangidwa ndi carbapenemase (CP). Ma CP-CRPA awa amatha kugawana majini omwe amapanga ma carbapenemases ndi mabakiteriya ena. Kukana kumeneku kumafalikira mwachangu. N'kovuta pang'ono, koma ndibwino kudziwa.

Kodi matenda a Pseudomonas aeruginosa adzathetsedwa okha?

Ngati mulibe zizindikiro kapena zizindikiro zochepa chabe, matenda anu a Pseudomonas aeruginosa akhoza kutha popanda chithandizo. Komabe, izi sizili choncho kwa aliyense.

Komabe, matenda aakulu a Pseudomonas aeruginosa sachira popanda chithandizo ndipo angayambitse mavuto oopsa.

Kodi ndidzachira msanga bwanji nditalandira chithandizo?

Ngati muli ndi matenda a Pseudomonas aeruginosa ochepa, mwina mudzayamba kumva bwino patatha masiku ochepa kuchokera pamene mwayamba kulandira chithandizo. Komabe, matenda oopsa angatenge milungu, kapena miyezi, kuti achire.

Kodi mungayembekezere chiyani ngati muli ndi matenda a Pseudomonas aeruginosa?

Nthawi zambiri, chiyembekezo cha matenda a Pseudomonas aeruginosa chimakhala chabwino ngati chitetezo chanu cha mthupi chili bwino. Matenda ang'onoang'ono amatha pakatha masiku ochepa ngati atachiritsidwa bwino. Komabe, muyenera kumwa mankhwala onse opha maantibayotiki. Ngati simutero, matendawa akhoza kukhala ovuta kwambiri kuchiza.

Ngati chitetezo chanu cha mthupi chili chofooka, matenda a Pseudomonas aeruginosa akhoza kukhala oopsa, ngakhale kupha. Mungafunike kumwa mitundu ingapo ya maantibayotiki. Mungafunikenso kumwa maantibayotiki kwa nthawi yayitali kuti matendawa asakule kwambiri.

Kodi matenda a Pseudomonas aeruginosa angapewedwe?

Inde, mungachite izi kuti muchepetse chiopsezo chanu chotenga matenda a Pseudomonas aeruginosa:

• Sambani m'manja nthawi zambiri:Kusamba m'manja ndi sopo wopha mabakiteriya ndi madzi oyera ndiyo njira yabwino kwambiri yopewera matenda. Ngati kusamba m'manja sikukupezeka, gwiritsani ntchito mankhwala oyeretsera m'manja okhala ndi mowa.
• Tsukani zipatso ndi ndiwo zamasamba bwino: Tsukani zipatso ndi ndiwo zamasamba bwino ndi madzi oyera. Ngati n'kotheka, gwiritsani ntchito sopo wochapira zipatso/masamba.
• Imwani madzi oyera: Ngati mulibe madzi oyera, onetsetsani kuti mwamwa madzi a m'botolo, m'zitini, owiritsa, kapena oyeretsedwa ndi mankhwala.
• Tsukani bwino malo: Gwiritsani ntchito mankhwala ophera tizilombo toyambitsa matenda poyeretsa malo omwe amakhudzidwa kawirikawiri (monga zogwirira zitseko, matebulo, masinki).
• Pewani mabafa osambira ndi maiwe osambira odetsedwa: Onetsetsani kuti madzi omwe ali mu bafa yosambira kapena dziwe losambira amatsukidwa nthawi zonse ndi chlorine.

Kodi muyenera kupita kwa dokotala liti?

Popeza matenda a Pseudomonas aeruginosa amatha kukhala oopsa mwachangu ngati chitetezo chanu cha mthupi chili chofooka, ndikofunikira kulankhula ndi dokotala nthawi yomweyo ngati muli ndi zizindikiro za matenda, kapena ngati zizindikiro zanu sizikusintha mutalandira chithandizo.

Kodi muyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati muli ndi zizindikiro za matenda oopsa ngati awa, pitani ku chipinda chapafupi chadzidzidzi, kapena imbani 1990 (ngati muli ku Sri Lanka):

• Malungo aakulu (103 Fahrenheit kapena 39.4 Celsius).
• Chisokonezo.
• Kuthamanga kwa magazi pang'ono.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, zingakhale zothandiza kufunsa mafunso ngati awa:

• Kodi ndinapeza bwanji matenda a Pseudomonas aeruginosa?
• Ngati ndilibe matenda a Pseudomonas aeruginosa, ndi vuto lina liti lomwe ndingakhale nalo?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi ndiyenera kumwa mitundu yoposa umodzi ya maantibayotiki?
• Ndiyenera kuchita chiyani ngati ndayiwala kumwa mankhwala opha tizilombo toyambitsa matenda?
• Kodi pali zizindikiro zilizonse zosonyeza kuti matendawa akukulirakulira zomwe ndiyenera kusamala nazo?

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Mabakiteriya a Pseudomonas amapezeka padziko lonse lapansi, m'malo onyowa monga madzi ndi nthaka. Amakhala pakhungu lanu, koma osayambitsa matenda. Ngati chitetezo chanu cha mthupi chili bwino, matenda a Pseudomonas aeruginosa nthawi zambiri amakhala ochepa - mwina simungazindikire zizindikiro zilizonse.

Komabe, ngati chitetezo chanu cha mthupi chili chofooka, matendawa akhoza kukhala oopsa. Ngati muli ndi zizindikiro za matenda a Pseudomonas aeruginosa, lankhulani ndi dokotala. Angathe kuzindikira matendawa ndikukupatsani mankhwala oyenera oletsa mabakiteriya ndikuletsa kuti asakule kwambiri. Pitani kuchipatala nthawi yomweyo, ngakhale mutakhala ndi zizindikiro, makamaka ngati muli pagulu la anthu omwe ali pachiwopsezo.

'Pseudomonas, Pseudomonas Aeruginosa, Pseudomonas Aeruginosa, Matenda a Bakiteriya, Kukana Mankhwala Opha Ululu, Sepsis, Matenda a Chipatala