Masifunde ngokosuleleka yiPseudomonas Aeruginosa. Ngaba oku kungakuchaphazela nawe?

Ngaba wakha weva ngebhaktiriya ebizwa ngokuba yi-'Pseudomonas'? Mhlawumbi akunjalo, akunjalo? Kodwa luhlobo lwebhaktiriya enokuphila kwindawo esikuyo, ingakumbi kwiindawo ezimanzi, emanzini, nasemhlabeni. Ngamanye amaxesha inokuphila eluswini lwethu, kodwa ingabangela usulelo. Namhlanje sithetha nge-'Pseudomonas aeruginosa (P. aeruginosa)', uhlobo oluphambili olubangela usulelo ebantwini. Nangona oku kunzima kancinci, masithethe ngako ngokulula.

Yintoni le nto yosulelo lwePseudomonas?

Ngamafutshane, usulelo lwePseudomonas lusulelo olubangelwa ziintlobo ezahlukeneyo zeebhaktheriya ezibizwa ngokuba yiPseudomonas. Kwezi, iPseudomonas aeruginosa (P. aeruginosa) lolona hlobo luqhelekileyo losulelo ebantwini. Le bhaktheriya ifumaneka kwindawo engqongileyo, ingakumbi emanzini, kwizityalo, nasemhlabeni. Inokufumaneka nakwiindawo ezimanzi ezifana namagumbi okuhlambela kunye nezinki. Ngamanye amaxesha, le bhaktheriya ingaphila eluswini lwakho, kodwa ingabangela naluphi na usulelo. Oogqirha bayibiza le meko ngokuba yi-bacterial colonization.

Nangona kunjalo, ukuba ufumana usulelo ngePseudomonas aeruginosa, kunokuba nzima kancinci ukunyanga. Oku kungenxa yokuba le ntsholongwane iye yatshintsha ukuze ikwazi ukuziqhelanisa nonyango ngokuhamba kwexesha. Oku kuthetha ukuba ezinye zee-antibiotics ezihlala zinikwa ezi ntlobo zezifo zisenokungasebenzi kule ntsholongwane. Oku sikubiza ngokuba kukunganyamezelani nee-antibiotic.

Ingakanani ingozi yosulelo lwePseudomonas aeruginosa?

Kuxhomekeke kakhulu kwimpilo yakho. Kunqabile kakhulu ukuba umntu onenkqubo yomzimba yokuzikhusela afumane usulelo lwePseudomonas aeruginosa. Nangona kunjalo, ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka (ayinawo amasosha omzimba afanelekileyo), olu sulelo lunokuba yingozi kakhulu, mhlawumbi lusongela ubomi.

Nazi ezinye zezizathu eziqhelekileyo zokuba inkqubo yomzimba yokuzikhusela inokuba buthathaka:

• Iimeko zokuzikhusela komzimba - umzekelo, i-lupus okanye i-rheumatoid arthritis.
• 'Umhlaza'.
• Icystic fibrosis.
• Isifo seswekile.
• `I-HIV` kunye `ne-AIDS`.
• Isifo sezintso.
• Isifo sesibindi.
• Ukufakelwa amalungu omzimba - umzekelo, ukufakelwa intliziyo okanye ukufakelwa imiphunga.
• Ukukhulelwa.
• Ukutsha kakhulu.
• Utyando.

Kwiimeko ezinje, inkqubo yomzimba yokuzikhusela ibuthathaka, nto leyo eyenza kube lula ukuba iintsholongwane ezifana nePseudomonas zihlasele.

Ngaba iPseudomonas aeruginosa luhlobo lwe-sepsis?

Hayi, i-`Pseudomonas aeruginosa` ayilohlobo lwe-`sepsis`. Nangona kunjalo, usulelo lwe-`Pseudomonas aeruginosa` lunokubangela i-`sepsis`.

I-Sepsis yingxamiseko yezonyango. Kulapho amajoni akho omzimba eyeka ukulwa nosulelo aze aqalise ukuhlasela izicwili zakho ezisempilweni kunye namalungu omzimba. Izifundo zibonise ukuba intsholongwane i-P. aeruginosa yeyona nto ibangela i-sepsis kubantu abatshileyo kakhulu.

Ziziphi iintlobo zosulelo lwePseudomonas aeruginosa?

Ibhaktheriya ethi `Pseudomonas aeruginosa` inokubangela iintlobo ngeentlobo zezifo. Ezinye zazo zezi:

• Usulelo lwegazi (septicemia) - Oku kuyingozi kakhulu.
• Usulelo lwendlebe - Oku kunokubangela usulelo lwendlebe, ingakumbi indlebe yombhukudi.
• Ukosuleleka kwamehlo - Lo mngcipheko uphezulu kubantu abasebenzisa iilensi zokunxibelelana ezingacocwanga kakuhle.
• Ukosuleleka emiphungeni (i-pneumonia) - Oku kunokuba yingozi kakhulu kubantu abalaliswe esibhedlele kwaye abanamajoni omzimba abuthathaka.
• Usulelo lolusu (i-cellulitis) - Oku kungenzeka ngamanxeba kunye nokutsha.
• Usulelo lomchamo (UTIs) - Oku kuyingozi kakhulu kubantu abane-catheter.

Ayipheleli apho, kodwa inokubangela usulelo kwindlela yakho yokugaya ukutya (GI). Oku kuquka umlomo wakho, umphimbo, isisu, amathumbu amancinci, amathumbu amakhulu, kunye ne-rectum.

Zixhaphake kangakanani izifo zePseudomonas?

Usulelo lwePseudomonas luxhaphake kakhulu. Ngo-2017, uphando luqikelele ukuba abantu abangaphezu kwama-32,000 bosulelwe yiP. aeruginosa. Kodwa ungoyiki. Uninzi lwexesha, olu sulelo lwenzeka kubantu abaneengxaki zempilo ezingaphantsi.

Ziziphi iimpawu zosulelo lwePseudomonas aeruginosa?

Iimpawu zixhomekeke ekubeni usulelo lwePseudomonas aeruginosa luchaphazeleke phi emzimbeni wakho. Makhe sijonge iimpawu ezithile kwindawo nganye.

Ukuba kukho usulelo egazini:

• Ukugodola.
• Ndiziva ndidiniwe kakhulu (ndidiniwe).
• Ifiva.
• Intlungu yamalungu.
• Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi).
• Intlungu yemisipha.

Ukuba unesifo sendlebe:

• Intlungu yendlebe.
• Ukuphuma kolwelo olufana nolwelo endlebeni.
• Iindlebe ezirhawuzelelayo.
• Ukudumba kwendlebe.
• Ukulahlekelwa kukuva.

Ukuba unosulelo lwesisu (GI):

• Intloko ebuhlungu .
• Urhudo.
• Isicaphucaphu nokuhlanza.

Ukuba unesifo samehlo:

• Ukudumba.
• Intlungu.
• Ubomvu.
• Amehlo abomvu.
• Ukudumba kwamehlo.
• Ukulahlekelwa ngumbono ngequbuliso -Olu luphawu oluyingozi kakhulu, kufuneka ubone ugqirha ngokukhawuleza.

Ukuba kukho usulelo emiphungeni:

• Ukugodola.
• Ukukhwehlela.
• Ubunzima bokuphefumla.
• Ifiva.

Ukuba kukho usulelo lolusu:

• Amaqhuma atshintshe umbala (obomvu, omdaka, okanye omfusa).
• Inxeba elinevumba elibi nelikhupha ulwelo olucacileyo okanye olupinki.
• Ukurhawuzelela.
• Amaqhuma amhlophe okanye amthubi azele bubomvu (amathumba).

Ukuba unosulelo lomchamo:

• Ukungakwazi ukuzibamba kukufuna ukuchama ngequbuliso okanye ngokungalawulekiyo.
• Ukungakwazi ukuzibamba komchamo.
• Intlungu ejikeleze indawo ye-pelvic.
• Intlungu xa uchama (i-dysuria).
• Ukuchama rhoqo.

Ukuba unenye okanye ngaphezulu kwezi mpawu, ingakumbi ukuba uyazi ukuba amasosha omzimba wakho abuthathaka, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

Yintoni ebangela usulelo lwePseudomonas?

Ezi ntsholongwane zinokubangelwa ziintlobo ezininzi zeebhaktheriya ezikwiqela le-'Pseudomonas'. Kwezi, i-'P. aeruginosa' yeyona nto iphambili ebangela le ngxaki. Le bhaktheriya inokukhula kwaye isasazeke ngeendlela ezininzi. Umzekelo:

• Ngamanzi: izinki, iibhafu, amachibi okudada, iibhafu ezishushu, umswakama ovela kwii-air conditioner (izifumisi), kunye neendawo ezimanzi ekhitshini.
• Ukusuka emhlabeni.
• Ekutyeni: Ekutyeni okungahlanjwanga, okungacocekanga.
• Kwizixhobo zonyango ezingcolisiweyo: Umzekelo, ukuba izinto ezifana nee-ventilators okanye ii-catheter zomchamo ezisetyenziswa ezibhedlele azihlanjwanga ngokufanelekileyo.
• Ukudibana kwesikhumba nolusu: Ngokuchukumisa ulusu lomntu osulelekileyo okanye ngokuchukumisa umphezulu osulelekileyo uze uchukumise amehlo akho, umlomo, okanye ezinye iindawo zomzimba wakho.

Ngaba usulelo lwePseudomonas aeruginosa luyasulela?

Ewe, iPseudomonas aeruginosa inokusasazwa ukusuka komnye umntu ukuya komnye. Ihlala isasazeka kwiindawo ezingcolisiweyo okanye ezandleni ezingcolileyo. Yiyo loo nto kubalulekile ukuhlamba izandla zakho rhoqo.

Ngubani ochaphazeleka kakhulu lusulelo lwePseudomonas aeruginosa?

I-Pseudomonas aeruginosa yintsholongwane eqhelekileyo efumaneka kwindawo esihlala kuyo. Nangona kunjalo, uninzi lwabantu abaneenkqubo zokuzikhusela zomzimba ezisempilweni abanalo ithuba lokufumana olu sulelo. Unamathuba amaninzi okufumana olu sulelo ukuba inkqubo yakho yokuzikhusela yomzimba ibuthathaka . Ikwaxhaphakile nakwiindawo ezibhedlele. Ezinye izifundo zibonisa ukuba ukuya kuthi ga kwi-33% yezigulana ezibhedlele zinokwasulelwa yi-P. aeruginosa.

Ziziphi iingxaki zosulelo lwePseudomonas aeruginosa?

Intsholongwane yePseudomonas aeruginosa inokubangela usulelo olusongela ubomi . Oku kunokusasazeka kwezinye iindawo zomzimba, oku kubangele iimeko ezinzima ezifana ne-sepsis kunye nokungasebenzi kakuhle kwamalungu omzimba.

Kwakhona, usulelo lwePseudomonas aeruginosa lunokumelana nee-antibiotics. Oku kuthetha ukuba amayeza okubulala iintsholongwane adla ngokunikwa ngoogqirha ukunyanga usulelo akanakubulala iintsholongwane. Ukuba uthatha amayeza okubulala iintsholongwane kwi-Pseudomonas aeruginosa, usenokuba namathuba amaninzi okufumana usulelo lweClostridium difficile (C. diff).

Ifunyanwa njani intsholongwane yePseudomonas aeruginosa?

Ugqirha unokuxilonga usulelo lwePseudomonas aeruginosa ngokuthatha imbali yakho yezonyango, ukubuza ngeempawu zakho, nokwenza uvavanyo lomzimba. Olu vavanyo lomzimba lungabandakanya:

• Ukumamela intliziyo yakho kunye nemiphunga usebenzisa i-stethoscope (i-auscultation).
• Ukuchukumisa isisu sakho.
• Ukujonga ulusu lwakho.
• Ukujonga amehlo akho.

Baza kuyalela novavanyo ukuqinisekisa ukuba unesifo.

Luhlobo luni lovavanyo oluqhutywayo?

Ugqirha wakho unokuyalela uvavanyo lwemifanekiso ukujonga iimpawu zosulelo kwenye indawo emzimbeni wakho. Ezi zingabandakanya:

• `Ii-X-reyi`.
• I-ultrasound.
• Umzobo weMagnetic Resonance (MRI).
• `Iskeni yeComputed Tomography (CT)`.

Basenokuthatha iisampulu zolwelo lomzimba wakho okanye izicubu zakho baze bazithumele kwilebhu ukuze bajonge ukuba ikho na intsholongwane yePseudomonas.

Inyangwa njani intsholongwane yePseudomonas aeruginosa?

Ugqirha udla ngokunika amayeza okubulala iintsholongwane ukunyanga usulelo lwePseudomonas aeruginosa. Angakunika amayeza okubulala iintsholongwane alandelayo okanye ngaphezulu:

• `Aztreonam`
• `IiCarbapenems`
• `I-Ceftazidime`
• `I-Ciprofloxacin`
• `IGentamicin`
• `Ticarcillin`
• `I-Ureidopenicillins`

Ungathatha la mayeza okubulala iintsholongwane njengeepilisi, uthambise ngawo njengekhrimu, amaconsi amehlo, okanye uthambise ngemithambo. Ngokuxhomekeke kubukhulu bosulelo lwakho, unokufuna ukuthatha amayeza okubulala iintsholongwane kangangeeveki eziliqela, okanye iinyanga.

Into ebaluleke kakhulu yile:Usulelo lwePseudomonas aeruginosa luya lusanda ukumelana neentlobo ezininzi zee-antibiotics, ingakumbi ukuba ufumana usulelo esibhedlele okanye kwenye indawo yokhathalelo lwempilo. Ke ngoko, kubalulekile ukuthatha ii-antibiotics kwikhosi yonke yonyango njengoko ugqirha wakho ekumisele. Musa ukuyeka ukuthatha amayeza nokuba uzive ungcono. Ukuba awuyeki, usulelo lwePseudomonas aeruginosa lunokubuya kwaye kube nzima ukunyanga.

I-Pseudomonas aeruginosa (CRPA) engamelaniyo neCarbapenem

Iqela elincinci leebhaktheriya zePseudomonas aeruginosa ziyamelana nee-antibiotics ze-carbapenem. Sizibiza ngokuba yiPseudomonas aeruginosa (CRPA) engamelana ne-carbapenem. Zivelisa ii-enzymes ezibizwa ngokuba yi-carbapenemases. Ezi enzymes zithintela i-carbapenem kunye nezinye ii-antibiotics ze-beta-lactam ukuba zingasebenzi. Uninzi lwee-antibiotics ezikhoyo ngoku azisebenzi kwezi CRPAs zivelisa i-carbapenemase (CP). Ezi CP-CRPAs zinokwabelana ngekhowudi yemfuza eyenza ii-carbapenemases nezinye iibhaktheriya. Olu xhathiso lusasazeka ngokukhawuleza. Kunzima kancinci, kodwa kulungile ukwazi.

Ngaba usulelo lwePseudomonas aeruginosa luya kuphelela ngokwalo?

Ukuba awunazo iimpawu okanye iimpawu ezingephi, usulelo lwakho lwePseudomonas aeruginosa lunokuphela ngaphandle konyango. Nangona kunjalo, oku akunjalo kuwo wonke umntu.

Nangona kunjalo, usulelo olukhulu lwePseudomonas aeruginosa aluphili ngaphandle konyango kwaye lunokubangela iingxaki ezisongela ubomi.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Ukuba une-Pseudomonas aeruginosa encinci, uza kuqala ukuziva ungcono kwiintsuku ezimbalwa emva kokuqala unyango. Nangona kunjalo, i-infection enzima ingathatha iiveki, okanye iinyanga, ukuba iphiliswe.

Yintoni onokuyilindela ukuba une-Pseudomonas aeruginosa?

Kwiimeko ezininzi, ikamva losulelo lwePseudomonas aeruginosa lilungile ukuba inkqubo yakho yomzimba yokuzikhusela isempilweni. Usulelo oluncinci luya kuphela kwiintsuku ezimbalwa ukuba lunyangwa ngokufanelekileyo. Nangona kunjalo, kufuneka uthathe yonke i-antibiotics. Ukuba awukwenzi oko, usulelo lunokuba nzima kakhulu ukulunyanga.

Ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka, usulelo lwePseudomonas aeruginosa lunokuba yingozi, lude lubulale. Kusenokufuneka uthathe iintlobo ezingaphezu kwesinye zee-antibiotic. Kusenokufuneka uthathe nee-antibiotics ixesha elide ukuze uthintele usulelo ukuba lungabi mandundu.

Ngaba usulelo lwePseudomonas aeruginosa lunokuthintelwa?

Ewe, ungenza ezi zinto ukunciphisa umngcipheko wakho wokufumana usulelo lwePseudomonas aeruginosa:

• Hlamba izandla zakho rhoqo:Ukuhlamba izandla zakho ngesepha elwa namagciwane namanzi acocekileyo yeyona ndlela ilungileyo yokuthintela usulelo. Ukuba akukho ndlela yokuhlamba izandla, sebenzisa isicoci sezandla esisekelwe kutywala.
• Hlamba iziqhamo nemifuno kakuhle: Hlamba iziqhamo nemifuno kakuhle ngamanzi acocekileyo. Ukuba kunokwenzeka, sebenzisa isepha yokuhlamba iziqhamo/imifuno.
• Sela amanzi acocekileyo: Ukuba awunawo amanzi acocekileyo, qiniseka ukuba usela amanzi asebhotileni, asetotini, abilisiwe, okanye acociweyo ngamachiza.
• Coca iindawo kakuhle: Sebenzisa isibulali-ntsholongwane ukucoca iindawo ezichukunyiswa rhoqo (umz. izibambo zomnyango, iitafile, izitya zokuhlambela).
• Ziphephe iibhafu ezishushu ezingcolileyo kunye namachibi okudada: Qinisekisa ukuba amanzi akwibhafu eshushu okanye echibini lokudada acocwa rhoqo nge-chlorine.

Ufanele uye nini kugqirha?

Ngenxa yokuba usulelo lwePseudomonas aeruginosa lunokuba yingozi ngokukhawuleza ukuba inkqubo yakho yokuzikhusela yomzimba ibuthathaka, kubalulekile ukuthetha nogqirha ngokukhawuleza ukuba uneempawu zosulelo, okanye ukuba iimpawu zakho aziphucuki emva konyango.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba uneempawu zosulelo olunzima olufana nolu, yiya kwigumbi likaxakeka elikufutshane, okanye utsalele umnxeba ku-1990 (ukuba useSri Lanka):

• Umkhuhlane ophezulu (103 Fahrenheit okanye 39.4 Celsius).
• Ukudideka.
• Uxinzelelo lwegazi oluphantsi.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kunokuba luncedo ukubuza imibuzo efana nale:

• Ndingayifumana njani iPseudomonas aeruginosa?
• Ukuba andinayo iPseudomonas aeruginosa infection, yeyiphi enye imeko endinokuba nayo?
• Ucebisa luphi unyango?
• Ngaba kufuneka ndithathe iintlobo ezingaphezu kwesinye zee-antibiotics?
• Ndingenza ntoni ukuba ndilibele ukuthatha idosi yee-antibiotics?
• Ngaba kukho naziphi na iimpawu zokuba usulelo luya lusiba mandundu ekufuneka ndiziqaphele?

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Iintsholongwane zePseudomonas zifumaneka kwihlabathi liphela, kwiindawo ezimanzi ezifana namanzi nomhlaba. Zingaphila naselusu lwakho, kodwa zingabangeli usulelo. Ukuba inkqubo yakho yomzimba yokuzikhusela iphilile, usulelo lwePseudomonas aeruginosa ludla ngokuba buthathaka - usenokungaziboni naziphi na iimpawu.

Nangona kunjalo, ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka, ezi zifo zinokuba zimbi kakhulu. Ukuba uneempawu zosulelo lwePseudomonas aeruginosa, thetha nogqirha. Banokuxilonga usulelo kwaye bakunike amayeza okubulala iintsholongwane afanelekileyo ukulawula iintsholongwane kwaye zingabi mandundu. Funa uncedo lwezonyango ngokukhawuleza, nokuba uneempawu, ingakumbi ukuba ukwiqela elisengozini.

"I-Pseudomonas, i-Pseudomonas Aeruginosa, i-Pseudomonas Aeruginosa, usulelo lwebhaktheriya, ukuchasana ne-antibiotic, i-sepsis, usulelo lwesibhedlele