Mungadabwe kudziwa kuti pali mabakiteriya ambirimbiri omwe amakhala m'thupi lathu. N'zoona. Mabakiteriyawa amakhala m'malo monga matumbo athu ndi ziwalo zoberekera. Ambiri mwa iwo amachita zinthu zabwino, monga kutithandiza kugaya chakudya chomwe timadya komanso kusintha momwe timamvera. Koma nthawi zina, ena mwa mabakiteriyawa angatibweretsere mavuto akulu. Lero tikambirana za mtundu umodzi wa mabakiteriya.
Kodi Enterococci ndi chiyani?
Mwachidule, enterococci ndi gulu la mabakiteriya omwe nthawi zambiri amakhala m'matumbo mwathu. Ndipotu, amapezeka m'matumbo a nyama iliyonse padziko lapansi. Ngakhale kuti pali mitundu yoposa 17 m'gululi, mitundu yochepa yokha ndi yomwe imayambitsa matenda mwa anthu. Mwa izi, ziwiri zazikulu ndi izi:
- Enterococcus faecalis (E. faecalis)
- Enterococcus faecium (E. faecium)
Vuto lalikulu la matenda a bakiteriyawa ndilakuti ndi ovuta kwambiri kuchiza. Chifukwa chake n'chakuti mabakiteriyawa sangaphedwe mosavuta ndi maantibayotiki wamba. Mwa kuyankhula kwina, ndi osamva mankhwala kwambiri .
Kodi matendawa amapezeka bwanji?
Mtundu wofala kwambiri wa matenda a enterococcal mwa anthu umayambitsidwa ndi bakiteriya wotchedwa Enterococcus faecalis. Bakiteriya iyi ndi yapadera chifukwa imatha kupulumuka m'malo osiyanasiyana okhala ndi chilengedwe, kuphatikizapo kutentha kwambiri ndi kuzizira. Kuwonjezera pa matumbo athu, bakiteriya iyi imathanso kukhala mkamwa mwathu komanso m'maliseche a akazi.
Chifukwa cha mphamvu zapadera za mabakiteriyawa, maantibayotiki ambiri sagwira ntchito polimbana ndi matenda awa. Mwachitsanzo, mabakiteriyawa amatha kupirira maantibayotiki ambiri otsatirawa:
| Gulu la mankhwala opha tizilombo | Zitsanzo |
|---|---|
| Mankhwala a Penicillin | Penicillin, Ampicillin, Amoxicillin |
| Cephalosporins | Wosagonjetsedwa ndi cephalosporins ambiri. |
| Glycopeptides | Vancomycin (yomwe imadziwikanso kuti Vancomycin-Resistant Enterococci – VRE) |
Kodi ndi mavuto ati azaumoyo omwe angayambitsidwe ndi Enterococci?
Matenda a bakiteriya amenewa amapezeka kwambiri m'zipatala. Malinga ndi ziwerengero, makamaka m'maiko ngati United States, matenda ambiri a mkodzo , matenda a mabala , matenda a magazi, ndi matenda a mtima amanenedwa chaka chilichonse chifukwa cha mabakiteriyawa. Tiyeni tiwone matenda aliwonsewa padera.
| Mtundu wa matenda | Kufotokozera ndi zizindikiro |
|---|---|
| Matenda a mkodzo (UTIs) | Matenda aliwonse m'thupi lanu (impso, chikhodzodzo, urethra). Azimayi ali pachiwopsezo chachikulu. Zizindikiro: - Kufuna kukodza pafupipafupi - Kupsa ndi kupweteka pokodza - Mkodzo wa mitambo, wofiira, pinki, kapena wakuda - Kupweteka m'mimba m'munsi |
| Matenda Ovulala | Matenda a mabala, mikwingwirima, kulumidwa ndi nyama, mabala opindika, ndi zina zotero nthawi zambiri amatha kuchitika mkati mwa maola 24-72. Zizindikiro: - Mafinya akutuluka m'bala - Kufalitsa kufiira mozungulira bala - Kuwonjezeka kwa ululu ndi kutupa - Malungo - Ma lymph nodes otupa |
| Mabakiteriya olowa m'magazi (Bacteremia) | Matenda m'thupi (monga matenda a mkodzo) amafalikira m'magazi. Uwu ndi matenda oopsa kwambiri. Zizindikiro: - Malungo ndi kuzizira - Kusanza, kusanza - Kuvuta kupuma, kugunda kwa mtima mofulumira - Kusokonezeka kapena kutaya chidziwitso |
| Matenda a mtima (Endocarditis) | Mabakiteriya omwe amafalikira m'magazi amatha kulumikizidwa ndi khoma la mtima ndi ma valve a mtima, zomwe zimayambitsa matenda. Uwu ndi matenda oopsa kwambiri . Zizindikiro: - Zizindikiro za chimfine kapena chimfine, monga malungo, kupweteka kwa thupi, ndi thukuta usiku - Kung'ung'udza kwatsopano kwa mtima - Matumbo ang'onoang'ono m'manja kapena m'mapazi |
Kodi mabakiteriya amenewa amafalikira bwanji?
Matenda a E. fecalis nthawi zambiri amafalikira m'zipatala. Chifukwa chachikulu cha izi ndichakuti odwala omwe ali m'chipatala amakhala ndi chitetezo chamthupi chofooka .
Kawirikawiri, mabakiteriya amenewa amafalitsidwa ndi ogwira ntchito kuchipatala. Ena mwa iwo amatha kukhala m'matumbo mwawo popanda kuyambitsa zizindikiro zilizonse. Komanso, mabakiteriyawa amatha kufalikira kwa odwala kudzera mu zipangizo zina zachipatala zomwe zimagwiritsidwa ntchito m'zipatala.
Ichi ndichifukwa chake ndikofunikira kwambiri kuti zipatala zitsatire mosamala malamulo aukhondo, kupha tizilombo toyambitsa matenda, komanso njira zophera tizilombo toyambitsa matenda. M'zipatala zomwe njira zotere zimayendetsedwa bwino, chiopsezo chofalitsa matenda otere chimakhala chochepa kwambiri.
Kodi matendawa amachiritsidwa bwanji?
Monga tanenera kale, kuchiza matenda oyambitsidwa ndi E. faecalis n'kovuta chifukwa mabakiteriyawa sagonjetsedwa ndi maantibayotiki ambiri.
Choncho, madokotala nthawi zambiri amachiza pogwiritsa ntchito mitundu iwiri ya mankhwala. Mwachitsanzo, mankhwala omwe amakhudza khoma la maselo a bakiteriya (monga penicillin, ampicillin, vancomycin) amaperekedwa pamodzi ndi aminoglycoside (monga gentamicin, streptomycin).
Komabe, matenda owopsa kwambiri, monga matenda a pakhungu ndi matenda a mtima (endocarditis), angafunike mankhwala osiyanasiyana. Komabe, matenda monga matenda a mkodzo (UTIs) ndi osavuta kuchiza. Mankhwala opha tizilombo toyambitsa matenda amodzi, monga ampicillin, angakhale okwanira.
Chofunika kwambiri ndichakuti chifukwa awa ndi matenda oopsa, ngati muli ndi zizindikiro ngati izi, makamaka mutagonekedwa kuchipatala, muyenera kuwona dokotala nthawi yomweyo.Musayese kudzipatsa mankhwala. Chithandizo chiyenera kusankhidwa ndi dokotala pokhapokha atafufuza momwe mulili.
Uthenga Wopita Nawo Kunyumba
- Enterococci ndi mtundu wa mabakiteriya omwe nthawi zambiri amakhala m'matumbo mwathu, koma nthawi zina angayambitse matenda aakulu.
- Matendawa nthawi zambiri amapezeka mwa odwala omwe ali m'chipatala ndipo ndi ovuta kuwachiza chifukwa sagonjetsedwa ndi maantibayotiki ambiri.
- Matenda osiyanasiyana angachitike, kuyambira matenda a mkodzo ndi matenda a mabala mpaka matenda oopsa a magazi ndi mtima (`Bacteremia`, `Endocarditis`).
- Kutsatira malamulo aukhondo m'zipatala ndikofunikira kwambiri kuti tipewe matenda amenewa.
- Ngati muli ndi zizindikiro monga malungo, matenda a bala, kapena matenda a mkodzo, makamaka mutatuluka kuchipatala, funsani upangiri wa dokotala mwamsanga.
Enterococci, Enterococcus faecalis, matenda a bakiteriya, matenda a m'chipatala, kukana maantibayotiki, matenda a mkodzo, matenda a mabala
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