Kodi munayamba mwawonapo utoto wa pinki, nthawi zina wofiira, pa shawa kapena chimbudzi chanu? Mwina munaganiza kuti ndi sopo kapena china chake m'madzi. Ndipotu, nthawi zambiri amayamba chifukwa cha bakiteriya wotchedwa Serratia marcescens. Koma musadandaule, kunyumba nthawi zambiri simayambitsa vuto lalikulu kwa munthu wathanzi. Komabe, m'malo monga zipatala, makamaka kwa anthu omwe ali ndi chitetezo chamthupi chofooka, bakiteriyayu akhoza kukhala woopsa pang'ono ndipo angayambitse matenda osiyanasiyana. Tiyeni tikambirane za izi mwatsatanetsatane.
Kodi Serratia marcescens ndi chiyani?
Mwachidule, Serratia marcescens ndi mtundu wa mabakiteriya omwe amapezeka kwambiri m'chilengedwe. Amapezeka m'malo ambiri, monga dothi, madzi, zomera, ndi nyama. Amakonda kwambiri malo onyowa. Monga ndanenera kale, mutha kuwona utoto wa pinki uwu m'bafa lanu, chimbudzi, komanso mwina m'mbale yamadzi ya chiweto chanu. Chifukwa chake ndichakuti mabakiteriyawa amapanga utoto wofiira wotchedwa `(Prodigiosin)`.
Taganizirani izi, bakiteriya uyu ali ngati mlendo wamng'ono, wosaoneka. Ali paliponse m'chilengedwe, koma amangotidwalitsa pazochitika zapadera.
Nthawi zambiri, anthu omwe ali ndi chitetezo chamthupi chathanzi sakhudzidwa ndi mabakiteriyawa m'nyumba zawo. Komabe, izi sizikutanthauza kuti sitiyenera kusamala za ukhondo. Ndikofunikira kwambiri kusunga malo monga mabafa ndi zimbudzi zaukhondo nthawi zonse.
Ndiye kodi izi zimayambitsa matenda bwanji, makamaka m'zipatala?
Nayi mfundo yofunika. Matenda a Serratia marcescens nthawi zambiri amapezeka m'zipatala. Timawatcha matenda a nosocomial. Ndiko kuti, matenda omwe amapezeka m'chipatala omwe sanalipo panthawi yolandira.
Taganizirani izi: Odwala ambiri m'chipatala amakhala ndi chitetezo chamthupi chofooka. Komanso, chifukwa cha opaleshoni ndi machubu omwe amalowetsedwa m'thupi (ma catheters, machubu opumira, ndi zina zotero), mabakiteriya amatha kulowa m'thupi. Ndi m'mikhalidwe yotereyi pomwe mabakiteriya monga Serratia marcescens amayamba kugwira ntchito.
Vuto lina lalikulu ndi mabakiteriyawa ndilakuti nthawi zina amatha kukhala osagwira ntchito ndi maantibayotiki omwe timawapatsa. Izi zikutanthauza kuti mankhwala omwe nthawi zambiri amaperekedwa chifukwa cha matenda a bakiteriya sangagwire ntchito pa mabakiteriyawa. Izi zimapangitsa kuti chithandizo chikhale chovuta.
Kodi ndi mavuto ati azaumoyo omwe Serratia marcescens angayambitse?
Bakiteriya iyi imatha kukhudza ziwalo zosiyanasiyana za thupi ndikuyambitsa matenda osiyanasiyana. Makamaka:
- Matenda a m'mapapo: Chitsanzo cha izi ndi chibayo.
- Matenda a mkodzo (UTIs):Chiwopsezochi ndi chachikulu makamaka kwa anthu omwe ali ndi catheter ya Foley.
- Matenda a maso: Mwachitsanzo, matenda monga kutupa kwa cornea (keratitis). Nthawi zina, izi zingayambitsidwenso ndi kuvala magalasi owoneka ngati akuda.
- Matenda a mabala: Bakiteriya iyi imatha kufalikira m'malo monga mabala ochitidwa opaleshoni ndi kupsa.
- Matenda a m'mimba: Matenda monga kutupa kwa chiberekero cha m'mimba (peritonitis).
- Matenda a ubongo ndi msana: Izi zimatchedwa meningitis. Uwu ndi matenda oopsa pang'ono.
- Matenda a mafupa (`Osteomyelitis`).
- Kutupa kwa mkati mwa mtima (endocarditis).
- Matenda a m'magazi (`Septicemia`): Ichinso ndi vuto loopsa kwambiri. Limachitika mabakiteriya akalowa m'magazi.
Kodi zizindikiro za matendawa ndi ziti?
Zizindikiro zimatha kusiyana kutengera komwe muli ndi kachilomboka, koma pali zizindikiro zina zodziwika bwino:
- Malungo
- Kunjenjemera chifukwa cha chimfine
- Kumva kutopa kwambiri (`Kutopa`)
Kutengera ndi malo enieni omwe kachilomboka kakufalikira, zizindikiro zake zingakhale monga:
- Matenda opatsirana m'mapapo: kupuma movutikira, chifuwa, nthawi zina ndi phlegm ya pinki, kupweteka pachifuwa.
- Matenda a maso: Maso ofiira, maso otuluka madzi, kupweteka kwa maso, kuvutika kuyang'ana kuwala.
- Matenda a mkodzo: Kupsa, kupweteka pokodza, kukodza pafupipafupi, ndipo nthawi zina mkodzo wa pinki.
- Matenda a Meningitis: Mutu waukulu, khosi lolimba , kusanza, kumva kuwala, chisokonezo.
Kodi munthu amatenga bwanji matenda a Serratia marcescens?
Kawirikawiri, matendawa amafalikira m'zipatala kapena m'malo osamalira odwala kwa nthawi yayitali. Pali njira zingapo zomwe mabakiteriya angafalitsire:
- Kuchokera kwa munthu mmodzi kupita kwa wina: Makamaka kuchokera m'manja mwa ogwira ntchito zachipatala, ngati akhudza odwala osasamba m'manja bwino.
- Kuchokera ku zipangizo zachipatala zoipitsidwa.
- Kudzera mu zipangizo zachipatala zomwe zimayikidwa m'thupi: Mwachitsanzo, kudzera mu zinthu monga Foley catheter, chubu chopumira, kapena IV cannula.
- Nthawi zina, kugwiritsa ntchito magalasi owoneka ngati akuda kungayambitsenso matenda a maso.
Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?
Anthu ena ali ndi mwayi waukulu wopeza kachilombo ka Serratia marcescens.
- Anthu omwe ali ndi chitetezo chamthupi chofooka: monga odwala kachilombo ka HIV/AIDS, olandira ziwalo zina, ndi omwe akulandira chithandizo cha khansa.
- Odwala khansa.
- Anthu omwe ali ndi matenda a shuga ('Diabetes Mellitus').
- Anthu omwe amagwiritsa ntchito zipangizo zachipatala zomwe zimayikidwa m'thupi (monga machubu opumira, machubu odyetsera, ma catheter a mkodzo) kwa nthawi yayitali.
- Omwe amalandira chithandizo cha nthawi yayitali kuchipatala kapena chipatala china.
- Anthu omwe amwa mankhwala opha mabakiteriya kwa nthawi yayitali, kapena omwe amawagwiritsa ntchito pafupipafupi (izi zitha kupha mabakiteriya abwino m'thupi ndikulola mabakiteriya oipa kukula).
- Anthu omwe amabaya mankhwala kudzera m'mitsempha nawonso ali pachiwopsezo chachikulu chotenga matendawa.
Kodi izi zingayambitse mavuto aakulu?
Inde, matenda a Serratia marcescens, makamaka ngati alowa m'magazi (septicemia), angayambitse mavuto aakulu. Akuluakulu ndi awa:
- Sepsis: Iyi ndi njira yoopsa kwambiri yomwe thupi limayankhira matenda. Ikhozanso kukhala pachiwopsezo chachikulu.
- Kugwedezeka: Matenda omwe kuthamanga kwa magazi kumatsika kwambiri, zomwe zimapangitsa kuti magazi asakwanire ziwalo za thupi.
- Kulephera kwa ziwalo: Ziwalo zofunika monga impso, mapapo, ndi chiwindi zingasiye kugwira ntchito.
Ichi ndichifukwa chake ndikofunikira kufunafuna upangiri wa dokotala nthawi yomweyo ngati mukukayikira kuti muli ndi matenda ngati awa.
Kodi madokotala amazindikira bwanji matenda a Serratia marcescens molondola?
Kutengera ndi zizindikiro zanu komanso gawo la thupi lanu lomwe mukuganiza kuti muli ndi kachilomboka, dokotala wanu adzayitanitsa mayeso kuti atsimikizire ngati muli ndi kachilombo ka Serratia marcescens. Izi nthawi zambiri zimaphatikizapo kutenga chitsanzo kuchokera kudera lomwe lili ndi kachilomboka ndikuchikulitsa mu labotale. Umu ndi momwe mabakiteriya angadziwikire.
Mungathe kutenga zitsanzo monga izi:
- Mafinya: Mafinya ochokera m'mapapo.
- Magazi.
- Mkodzo.
- Chidutswa cha madzi kapena minofu yotengedwa pabala.
- Madzi a m'mphuno (CSF): Kuyezetsa uku kumachitika ngati mukukayikira kuti pali meningitis.
Mabakiteriya akapezeka kudzera mu mayeso a "culture" awa, mayeso amachitidwanso kuti adziwe kuti ndi maantibayotiki ati oyenera (kuyesa kukhudzidwa ndi maantibayotiki).
Kodi mungachiritse bwanji Serratia marcescens?
Matenda a Serratia marcescens amachiritsidwa ndi maantibayotiki . Komabe, monga ndanenera kale, chifukwa mabakiteriyawa sagonjetsedwa ndi maantibayotiki ena, mayeso a labotale amafunika kuti adziwe mankhwala omwe ndi othandiza kwambiri pa mtundu uwu wa mabakiteriya.
Nthawi zina, mitundu ingapo ya maantibayotiki ingafunike kuperekedwa pamodzi kuti ithetse matenda. Nthawi ya chithandizo imasiyana malinga ndi mtundu ndi kuopsa kwa matendawa. Ndikofunikira kumwa mankhwalawo nthawi yonse yomwe dokotala wanu wakupatsani chithandizo, ngakhale zizindikiro zanu zitachepa.
Ndiyenera kupita liti kwa dokotala wanga?
Ngati ndinu wodwala m'chipatala, kapena mwangotuluka kumene m'chipatala, ndipo mwaona kusintha kulikonse kwachilendo m'thupi lanu kapena zizindikiro za matenda (monga malungo, kupweteka, kugunda kwa mtima mofulumira, kutopa kwambiri), ndikofunikira kwambiri kudziwitsa gulu lanu lachipatala nthawi yomweyo.
Ndiwe amene umadziwa bwino thupi lako. Ngati ukuganiza kuti chinachake sichili bwino, ngakhale kuti sichikuonekera bwino kwa ena panthawiyo, dziwa kuti wanena zimenezo.
Kuzindikira matendawa msanga ndi kulandira chithandizo kungalepheretse matendawo kukhala oopsa.
Kodi ndingayembekezere chiyani ngati ndili ndi matendawa?
Zimene mudzakumane nazo ndi matenda a Serratia marcescens zidzadalira kwambiri komwe matendawa ali m'thupi komanso matenda ena omwe muli nawo kale.
Mwachitsanzo, matenda a mkodzo (UTIs) nthawi zambiri amatha kuchiritsidwa bwino komanso kuchiritsidwa. Komabe, ngati mabakiteriya alowa m'magazi (septicemia), ndi vuto lalikulu kwambiri.
Chofunika kwambiri ndikumwa mankhwala onse omwe dokotala wanu wakupatsani, mu mlingo woyenera, kwa nthawi yoyenera. Musasiye kumwa mankhwalawo ngakhale mutamva bwino pang'ono. Kuchita zimenezi kungayambitse matenda kubwerera kapena mabakiteriya kukhala osamva mankhwala opha tizilombo.
Kodi matenda a Serratia marcescens angapewedwe?
Inde, pali njira zodzitetezera komanso zophera tizilombo zomwe ogwira ntchito zachipatala amatsatira kuti apewe matenda otere omwe amabwera kuchipatala. Izi zikuphatikizapo:
- Sambani m'manja mwanu pafupipafupi komanso moyenera.
- Kuyeretsa malo omwe ali m'chipatala nthawi zonse ndi mankhwala ophera tizilombo toyambitsa matenda.
- Kupereka mankhwala opha mabakiteriya okha pa matenda a bakiteriya ndikuchepetsa kugwiritsa ntchito kwawo mosayenera.
- Kuyeretsa bwino zida zachipatala.
- Kupatula odwala omwe ali ndi matenda monga Serratia marcescens kuti asafalikire kwa ena.
Inunso mungathandize kupewa matenda awa:
- Sambani m'manja nthawi zambiri, makamaka ngati mukusamalira munthu amene ali ndi chitetezo chamthupi chofooka kapena munthu amene wakhala m'chipatala posachedwapa.
- Ngati muli ndi chipangizo chachipatala chomwe chaikidwa m'thupi lanu, monga catheter, funsani dokotala wanu kuti muyenera kuchisunga kwa nthawi yayitali bwanji. Kuchisiya kwa nthawi yayitali mosafunikira kumawonjezera chiopsezo chotenga matenda.
Pomaliza, ndiyenera kunena
Ogwira ntchito zachipatala amagwira ntchito mwakhama kuti zipatala ndi malo osamalira odwala nthawi yayitali azikhala otetezeka momwe angathere. Komabe, nthawi zina, mabakiteriya monga Serratia marcescens angayambitse matenda omwe amapezeka m'chipatala. Ngakhale kuti matenda ena amatha kuchiritsidwa mosavuta, ena akhoza kukhala oopsa.
Ngati inu kapena wokondedwa wanu muli ndi nkhawa, kukayikira, kapena mafunso okhudza matenda a Serratia marcescens, musazengereze kulankhula ndi dokotala za vutoli. Adzatha kuyankha mafunso anu onse.
Chofunika kwambiri ndi kusamalira thanzi lanu.
Serratia marcescens, matenda a bakiteriya, matenda a nosocomial, kukana maantibayotiki, maso a pinki, UTI, chibayo











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