Kukho izigidi zeebhaktheriya ezihlala kwindawo esihlala kuyo, ingakumbi emhlabeni nasemanzini, kwaye azibonakali emehlweni. Nangona uninzi lwazo lungenabungozi, ezinye ziyingozi. Enye yezo bhaktheriya yiPseudomonas aeruginosa. Nangona igama lisenokuvakala lirhabaxa kancinci, kubalulekile ukuba sonke siqaphele iimeko ezibangelwa yile bhaktheriya.
Kalula nje, yintoni iPseudomonas?
I-Pseudomonas liqela leebhaktheriya ezihlala ngaphandle, emhlabeni, emanzini, nakwiindawo ezimanzi ngaphakathi emakhayeni. Ukuba usempilweni entle, akufuneki ukhathazeke ngokugula yile bhaktheriya. Unokufumana
irhashalala elincinci eluswini, usulelo lwendlebe, okanye usulelo lwamehlo. Le bhaktheriya ngamanye amaxesha inokubangela indlebe yomqubhi, imeko ebangela
iintlungu zendlebe emva kwamachibi okudada, kunye namadyungudyungu eluswini emva kokusebenzisa iibhafu ezishushu ezingacocwanga kakuhle.
Nangona kunjalo, ukuba unenye imeko yezonyango okanye ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka, le ntsholongwane yePseudomonas inokubangela usulelo olunzima kakhulu . Ngamanye amaxesha olu sulelo aluphenduli kakuhle kwii -antibiotics . Ke ngoko, kwabanye abantu lunokuba yingozi ebomini. Lungabizwa ngokuba lolunye lwezona sulelo zinzima kakhulu ezifunyanwa zizigulana ezinyangwa ezibhedlele .
Olu sulelo lungena njani emizimbeni yethu?
Kukho iindlela ezahlukeneyo le bhaktiriya enokungena ngazo emizimbeni yethu. Ekubeni le bhaktiriya inokukhula phezu kweziqhamo nemifuno, inokudluliselwa ngokutya okungcolileyo. Kwakhona, le bhaktiriya ikhula kakuhle kwiindawo apho kuhlala khona umswakama, njengeetanki, amachibi okudada, amagumbi okuhlambela, kunye neesinki zasekhitshini. Nangona kunjalo, usulelo olubi kakhulu ludla ngokuxelwa kwiindawo zonyango ezifana nezibhedlele. Khawucinge nje, ukuba ezinye izixhobo zonyango ezisetyenziswa kwizibhedlele, umzekelo, ii-catheters okanye oomatshini
bokuphefumla , azicocwanga kwaye azibulawa ziintsholongwane ngokufanelekileyo, le bhaktiriya inokukhula lula kuyo. Kwakhona, ukuba umsebenzi wezempilo akazihlambi kakuhle izandla zakhe, le bhaktiriya inokudluliselwa ngokulula ukusuka kwisigulana esosulelekileyo ukuya kwesinye isigulana.
Ezinye iindawo ezimangalisayo apho le ntsholongwane ihlala khona
| Kwimeko eqhelekileyo | Kwimeko yesibhedlele |
|---|
| Iinkqubo zokuhambisa amanzi kunye nemibhobho | Ukutya okuphekiweyo (akugcinwanga kakuhle) |
| Izixhobo zokucoca ezifana neemophu | Ibha yesepha |
| Amadama okudada kunye neetanki zamanzi ashushu | Ibhrashi yamazinyo |
| Iilensi zoqhagamshelwano kunye nezisombululo zazo | Umatshini womkhenkce |
| Ipolishi yeenzipho, izixhobo zesalon | Isibulali-ntsholongwane kunye nesibulali-ntsholongwane |
Ngubani osengozini enkulu yokufumana olu sulelo?
Abantu abanezi meko zilandelayo basengozini enkulu yokufumana usulelo lwePseudomonas:
- Kwabo banezilonda ezivulekileyo ezingakhange ziphole emva kotyando.
- Kwabo bafumana unyango ngenxa yokwenzakala xa betsha .
- Kwabo basebenzisa izixhobo zonyango ezifana noomatshini bokuphefumla kunye nee-catheter.
- Kwabo banesifo seswekile .
- Abantu abanezifo zemiphunga ezingapheliyo ezifana ne-cystic fibrosis.
- Kwabo baneemeko ezenza amajoni omzimba abe buthathaka, ezifana ne-HIV.
- Kwabo basebenzisa amayeza acinezela amajoni omzimba , afana namayeza omhlaza.
Zithini iimpawu zosulelo?
Iimpawu zosulelo zixhomekeke ekubeni intsholongwane ichaphazele yiphi indawo yomzimba. Usulelo lunokwenzeka naphi na ukusuka kwizinzipho ukuya egazini, emaphaphu, esiswini, nakwindlela yomchamo.
| Ilungu lomzimba elinesi sifo | Iimpawu ezivakalayo |
|---|
| Iindlebe | Intlungu yendlebe, ukuphuma kolwelo endlebeni |
| Ulusu | Ukuqhambuka kwesikhumba okunamaqhuqhuva anjengeempumlo azele bubomvu |
| Amehlo | Intlungu, ubomvu, kunye nokudumba |
| Amathambo okanye amalungu | Intlungu kunye nokudumba kwamalungu; intlungu yentamo okanye yomqolo ehlala iiveki |
| Ukwenzakala | Ubomvu obuluhlaza okanye ulwelo oluphumayo (lunokuba nevumba elimnandi leziqhamo) |
| Inkqubo yokugaya ukutya | Intloko ebuhlungu, urhudo |
| Imiphunga | Inyumoniya; ukukhwehlela okukhulu kunye nokuxinana kwamaqhuqhuva |
| Indlela yomchamo | Iimpawu ezifana nezosulelo lomchamo (UTIs) |
Ukongeza, umkhuhlane luphawu oluqhelekileyo losulelo olubi lwePseudomonas.
Ugqirha angayazi njani ukuba ndinayo le ntsholongwane?
Ugqirha wakho unokukukrokrela oku emva kokumamela iimpawu zakho nokwenza uvavanyo lomzimba. Umzekelo, ukuba ubona utshintsho eluswini okanye emehlweni akho. Ukuqinisekisa olu krokrelo, uza kuthatha isampuli yegazi lakho okanye olunye ulwelo lomzimba (olufana ne-sputum, umchamo, okanye ubomvu obuvela kwinxeba) aze aluthumele kuvavanyo lwelebhu okanye kwi-culture. Kwezinye iimeko, iimvavanyo zomfanekiso ezifana ne-X-ray, i-MRI, okanye i-ultrasound zinokwenziwa ukuze kubonwe ukuba kukho usulelo olungaphakathi emzimbeni wakho na. Iziphumo zezi vavanyo zinokunceda ugqirha wakho ukuba agqibe ukuba zeziphi ii-antibiotics ezifanelekileyo ekunyangeni usulelo lwakho.
Inyangwa njani? Ingaba oku kuyingozi?
Ukuba unentsholongwane encinci, ungayinyanga ngee-antibiotics ezichazwe ngugqirha wakho. Ngokuxhomekeke ekubeni ikuphi na intsholongwane, la mayeza anokuthi eze ngohlobo lwekhrimu, amathontsi okufakwa emehlweni okanye ezindlebeni, okanye iipilisi zokuthathwa ngomlomo. Nangona kunjalo,
ukuba unentsholongwane enzima, unokufuna ukuthatha ii-antibiotics ngemithambo (IV) kangangeeveki. Ngenxa yokuba iintsholongwane zePseudomonas zihlala zitshintsha kwaye zisiba namandla, iintsholongwane zinokuba nzima ukunyanga. Ke ngoko, kufuneka
iintlobo ezingaphezu kwesinye zee-antibiotics ukuze zibulale ngokupheleleyo iintsholongwane.
Ukumelana nama-Antibiotic
Le yeyona ngxaki inkulu kule ntsholongwane. Ezinye iintlobo zentsholongwane yePseudomonas, ingakumbi uhlobo
lweCP-CRPA (Carbapenem-resistant Pseudomonas aeruginosa) , ziyamelana neentsholongwane ezininzi ezikhoyo. Zikwamelana nee-carbapenems, ezingama-antibiotic anamandla kakhulu anikwayo xa kungekho mayeza anokunyanga esi sifo.
Enye into eyingozi ngale ntsholongwane kukuba iyafana nokuxhathisa kwayo amayeza okubulala iintsholongwane nezinye iintsholongwane. Kufana nomntwana okrelekrele eklasini onceda abanye abantwana ukukopela kuvavanyo ngokubanika iimpendulo zabo. Oku kukhokelela ekusasazekeni kokuxhathisa amayeza okubulala iintsholongwane. Kwane-World Health Organisation (WHO) ifumanise oku njengomngcipheko omkhulu.
Ziziphi ezinye iingxaki ezinokubakho ngenxa yosulelo?
- Ezinye izifo: Ukusela amayeza okubulala iintsholongwane ngamanye amaxesha kunokubangela ezinye izifo ezibangelwa ziintsholongwane, ezifana neClostridioides difficile (C. diff). Iimpawu ziquka urhudo kunye nentlungu yesisu.
- Ukuxhathisa amayeza okubulala iintsholongwane: Ukuba usulelo aluphenduli kumayeza, lunokubangela ukuba kubekho oogqirha abaninzi, ukulaliswa esibhedlele, iindleko zonyango eziphezulu, kunye nemiphumo emibi evela kunyango.
- I-Sepsis: Le yimeko enzima kakhulu apho inkqubo yomzimba yokuzikhusela, ekufanele ukuba ilwe nosulelo, iqala ukuhlasela amalungu omzimba.
- Ukungasebenzi kakuhle kwamalungu omzimba: Ukuba anganyangwa okanye ngenxa yosulelo olukhulu, amalungu abalulekileyo angonakaliswa.
Ngoko ke, ungazikhusela njani kolu sulelo luyingozi?
Ungawunciphisa umngcipheko wakho wokosuleleka ngokuphepha ukudibana nale ntsholongwane. Ukulandela la macebiso kulula kunokuba ucinga.
- Hlamba izandla zakho rhoqo: Le yeyona ndlela ilungileyo yokuzikhusela. Hlamba izandla zakho kakuhle ngesepha namanzi. Ukuba usesibhedlele, qiniseka ukuba ugqirha okanye umongikazi okunyangayo uhlala ehlamba izandla zakhe ngaphambi kokuba akuchukumise, okanye esebenzisa i-sanitizer yezandla. Ungoyiki ukubuza.
- Hlamba imifuno neziqhamo kakuhle phambi kokuba utye: Nelettuce kufuneka ihlanjwe kakuhle.
- Gcina iibhotile zakho zamanzi zicocekile: Zihlambe kwaye uzibulale ngamanzi ashushu emva kokuzisebenzisa.
- Hlamba izinto zokulala kunye neetawuli rhoqo ngamanzi ashushu.
- Kuphephe ukutshaya: Ukutshaya kunciphisa amandla emiphunga yakho okulwa neentsholongwane.
- Coca iindawo eziphathwa rhoqo ekhayeni lakho: izibambo zomnyango, iziphatho zokuhlamba indlu yangasese, izitshixo zokukhanyisa, njl. Ungalibali ifowuni yakho kunye nelaptop.
- Ziphephe iidama zokudada ezingcolileyo kunye neebhafu ezishushu.
- Nyamekela impilo yakho: Sela amayeza akho njengoko ugqirha wakho ekuyalele. Emva kotyando, qaphela iimpawu zosulelo. Ukuba ufumana umkhuhlane, iintlungu, okanye ukubomvu okanye ukuphuma kwamanzi kwindawo yotyando , yazisa ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Pseudomonas yintsholongwane eqhelekileyo efumaneka kwindawo esingqongileyo. Nangona idla ngokuba yingozi kubantu abaphilileyo, inokuba yingozi kakhulu kubantu abaneenkqubo zomzimba ezibuthathaka kunye nabantu abagulayo.
- Izigulana ezifumana unyango esibhedlele zisengozini enkulu yokufumana olu sulelo, ngoko ke ucoceko kwindawo esibhedlele kufuneka luqwalaselwe kabini.
- Eyona ndlela ilula neyona ilungileyo yokuzikhusela kule ntsholongwane kukuhlamba izandla zakho kakuhle ngesepha namanzi rhoqo.
- Ezinye iintlobo zePseudomonas ziyamelana namayeza okubulala iintsholongwane, nto leyo eyenza unyango lube nzima. Ngoko ke, landela imiyalelo kagqirha wakho ngononophelo.
- Ukuba unezinto ezinokubangela umngcipheko okanye unyangwa esibhedlele, kubalulekile ukuba uqaphele kakhulu iimpawu zosulelo kwaye ufune iingcebiso zonyango ngokukhawuleza ukuba awuqinisekanga.
I-Pseudomonas aeruginosa, i-Pseudomonas, usulelo lwebhaktheriya, usulelo lwasesibhedlele, ukuxhathisa ii-antibiotic, indlebe yomqubhi
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