Wakambonzwa here nezvehama kana shamwari yaive mukamuri rekutarisirwa zvakanyanya (ICU) ichiwana "hutachiona hwakawanikwa muchipatara"? Dzimwe nguva zvinokonzerwa nerudzi rwebhakitiriya rwatiri kutaura nezvarwo, rusingadyirwe nemishonga yakawanda uye rune njodzi. Kunyange zvazvo bhakitiriya iri risingawanzo kukonzera matambudziko akawanda kuvanhu vane hutano, rinogona kuva njodzi huru kune munhu ari muchipatara uye ane masoja emuviri asina simba.
Chii chaizvo chinonzi Acinetobacter baumannii?
Zvichitaurwa zviri nyore, urwu rudzi rwebhakitiriya. Rwakawanda munharaunda, kunyanya muvhu nemumvura. Muongororo dzemurabhoritari, bhakitiriya iyi inoiswa muchikamu che "Gram-negative". Izvi zvinoreva kuti inotaridzika sepingi kana yaiswa dhayi rakati. Kunyange zvazvo izvozvo zvingasava zvakakosha kwatiri, zvakakoshawo kuvanachiremba.
Asi chikonzero chikuru chinoita kuti tese titye bhakitiriya iri kugona kwaro kunoshamisa. Ndiko kugona kwaro kuramba mabhakitiriya . Tinoziva kuti kana tiine hutachiona hwebhakitiriya, chiremba anotipa mabhakitiriya. Asi bhakitiriya iri, Acinetobacter baumannii, rakawana nzira dzekudzivirira mabhakitiriya akawanda. Tinoridaidza kuti kuramba mishonga yakawanda. Zvakafanana nekuvaka mabunker akasiyana-siyana ekuvanda kana muvengi auya. Nokudaro, vanachiremba vanofanira kutarisana nedambudziko guru rekurapa hutachiona hunokonzerwa nebhakitiriya iri.
Utachiona uhwu hunotapuriranwa sei? Ndiani ari panjodzi huru?
Utachiona uhwu hunowanikwa kakawanda muvanhu vasiri muchipatara. Zvisinei, dzimwe nguva hunogona kuitika kunze kwechipatara kune vanhu vane chirwere cheshuga, chirwere chemapapu chisingaperi, kana kuti masoja emuviri asina simba.
Asi njodzi huru ndeyevarwere vari muchipatara, kunyanya avo vanorwara zvakanyanya. Funga izvi: Munhu ari mumamiriro ezvinhu akadai ane mukana mukuru wekuwana hutachiona uhu:
- Avo vari kurapwa muIntensive Care Unit (ICU).
- Vanhu vakabatana nemaventilators.
- Vanhu vane macatheter emuweti kana macatheter emutsinga.
- Vanhu vanga vari muchipatara kwenguva yakareba.
- Vanhu vane maronda ekuvhiyiwa akavhurika.
Nzira huru dzinoshandiswa kupararira kwechirwere ichi ndeyekubata murwere ane hutachiona, madonhwe anopinda mumhepo kana munhu ane hutachiona achikosora kana kuhotsira, uye kuburikidza nemidziyo yekurapa isina kucheneswa zvakanaka.
Utachiona uhwu hunogona kurarama kwenguva yakareba panzvimbo dzakadai semidziyo yemuchipatara nemibhedha. Ndosaka zvinhu zvakaita sekuchena muzvipatara uye kugeza maoko nevashandi zvichikosha zvikuru.
Kunyangwe Sangano reHutano repasi rose (WHO) rakabatanidza bhakitiriya rekuti 'Acinetobacter baumannii' iri pakati pebhakitiriya rinotyisidzira vanhu zvikuru. Chikonzero cheizvi kugona kwayo kuramba mishonga inorwisa mabhakitiriya yataurwa pamusoro apa.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zvinoenderana nekuti bhakitiriya iri rabata chikamu chipi chemuviri. Semuenzaniso, kana mapapu akabatwa nechirwere, hapana zviratidzo zvichaonekwa, asi kana uropi hwabatwa nechirwere, ipapo ndipo pachavawo nechirwere.
Ngatitsanangurei izvi zvakare netafura iri pazasi.
| Rudzi rwehutachiona | Tsananguro nezviratidzo |
|---|---|
| Mabayo anowanikwa muchipatara | Utachiona uhwu ndihwo hunonyanya kukonzerwa nehutachiona uhu. Hunogona kuitika kunyanya kuvanhu vari muICU kana vari pamidziyo yekufema. Zviratidzo: fivha, kunetseka kufema, kurova kwemoyo nekukurumidza, kurwadziwa pachipfuva, uye kutonhorwa. |
| Utachiona hweropa (Utachiona hweropa / Sepsis) | Mabhakitiriya anopinda muropa opararira mumuviri wese. Ichi chirwere chine njodzi zvikuru. MuICU, njodzi yekufa nehutachiona hwakadaro ingangoita 30%-40%. Zviratidzo: Fivha yakanyanya, dzihwa, kufema nekukurumidza, uye kuvhiringidzika. |
| Utachiona hwepakati petsinga | Meningitis, chirwere chemudumbu chinofukidza uropi, chinogona kuitika, kunyanya mushure mekuvhiyiwa kweuropi. Zviratidzo zvinosanganisira fivha yakanyanya, kurasikirwa nepfungwa, kupfava, kuoma mutsipa, musoro, uye kutadza kutarisa mwenje unopenya. |
| Zvimwe zvirwere | Zvirwere zvemudumbu, mapfupa, ganda nenyama yakapfava, zvirwere zvemaronda, uye zvirwere zvemukati memwoyo (endocarditis) zvinogonawo kuitika. |
Izvi zvinorapwa sei?
Iri ndiro dambudziko guru. Nekuti bhakitiriya iri harina simba rekurwisa mishonga yakawanda inorwisa mabhakitiriya, zvakaoma zvikuru kuti vanachiremba vasarudze mushonga.
Izvi ndizvo zvinowanzoitika:
Kana chiremba wako achifungidzira kuti une hutachiona, anotora sampuli (semuenzaniso ropa, phlegm, kana mvura inobva paronda) kubva panzvimbo ine hutachiona oitumira kurabhoritari. Izvi zvinonzi bvunzo ye "culture".
Asi zvinotora mazuva akati wandei kuti mhedzisiro ye "(tsika)" iyoyo idzoke. Kana murwere achirwara zvakanyanya, haugone kumirira mhedzisiro iyoyo. Saka chiremba anotanga kurapwa zvichibva pakufungidzira kwake , zvichibva pane zvakaitika kwaari nemarudzi emabhakitiriya akajairika muchipatara uye kuti mishonga ipi yekuuraya mabhakitiriya yakabudirira munguva pfupi yapfuura.
Kana gwaro rezvekurapa richizobuda mumazuva mashoma, richataura zvakajeka kuti mabhakitiriya api ari kukonzera hutachiona, maantibiotic api anoshanda, uye maantibiotic api asingashande. Chiremba achabva asarudza kana achinje kurapwa kwakatanga kare kana kwete zvichibva pagwaro iroro.
Dzimwe nguva, bhakitiriya iyi haipindi mishonga inorwisa mabhakitiriya ine simba zvikuru, "yekupedzisira" yakaita se "carbapenem". Muzviitiko zvakadaro, kurapwa kunova kwakaoma zvikuru. Saka, muzviitiko zvakadaro, siya chisarudzo chekurapa kuna chiremba wako chete.
Mharidzo Yekuenda Nayo Kumba
- Acinetobacter baumannii chirwere chakakomba chebhakitiriya chisingarapike nemishonga yakawanda inorwisa mabhakitiriya uye chinonyanya kupararira muzvipatara.
- Njodzi huru ndeyevarwere vanorwara zvakanyanya vari mumakamuri ekuchengetwa kwakanyanya (ICUs), avo vari mumafekitori ekufema, avo vane maronda ekuvhiyiwa, uye avo vane masoja ekudzivirira muviri asina simba.
- Zviratidzo zvinoenderana nechikamu chemuviri chine chirwere (mapapu, ropa, uropi, nezvimwewo).
- Kurapa kwakaoma uye kunofanira kutarisirwa nachiremba wako zvichibva pane zvakaongororwa murabhoritari.
- Nzira yakanakisisa yekudzivirira hutachiona uhu ndeyekunyatsotevedzera tsika dzakakodzera dzehutsanana muzvipatara (kunyanya kugeza maoko nevashandi).
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