Oko kufuneka ukwazi malunga nebhaktheriya iSerratia marcescens

Ngaba wakha wayibona ipeyinti epinki, ngamanye amaxesha ebomvu, kwisitya sakho sokuhlamba okanye sendlu yangasese? Mhlawumbi ubucinga ukuba yisepha okanye into ethile emanzini. Enyanisweni, idla ngokubangelwa yibhaktiriya ebizwa ngokuba yiSerratia marcescens. Kodwa ungakhathazeki, ekhaya ayibangeli ngxaki inkulu kumntu ophilileyo. Nangona kunjalo, kwiindawo ezifana nezibhedlele, ingakumbi kubantu abaneenkqubo zomzimba ezibuthathaka, le bhaktiriya inokuba yingozi kancinci kwaye inokubangela usulelo olwahlukeneyo. Makhe sithethe ngale nto ngokweenkcukacha.

Yintoni le Serratia marcescens?

Ngamafutshane, iSerratia marcescens luhlobo lweebhaktheriya ezifumaneka kakhulu kwindawo engqongileyo. Zifumaneka kwiindawo ezininzi, njengomhlaba, amanzi, izityalo, kunye nezilwanyana. Zithanda kakhulu iindawo ezimanzi. Njengoko benditshilo ngaphambili, ungayibona le filime epinki kwigumbi lakho lokuhlambela, indlu yangasese, mhlawumbi nakwisitya samanzi sesilwanyana sakho sasekhaya. Isizathu soku kukuba le bhaktheriya ivelisa umbala obomvu obizwa ngokuba yi-`(Prodigiosin)`.

Cinga ngale ndlela, le ntsholongwane ifana nesilwanyana esingabonakaliyo, esingabonakaliyo. Ikho kuyo yonke indawo kwindalo esingqongileyo, kodwa iyasigulisa kuphela ngezihlandlo ezikhethekileyo.

Kwiimeko ezininzi, abantu abanenkqubo yomzimba yokuzikhusela esempilweni abachaphazeleki yile ntsholongwane emakhaya abo. Nangona kunjalo, oku akuthethi ukuba asifanele sinikele ingqalelo kucoceko. Kubaluleke kakhulu ukugcina iindawo ezifana nezindlu zangasese nezindlu zangasese zicocekile ngamaxesha onke.

Ngoko ke oku kubangela njani ukugula, ingakumbi ezibhedlele?

Nantsi ingongoma ebalulekileyo. Usulelo lweSerratia marcescens ludla ngokubonakala ezibhedlele. Ezi zifo sizibiza ngokuba zizifo ezifumaneka esibhedlele ezazingekho ngexesha lokungeniswa.

Khawucinge ngoku: Uninzi lwezigulane esibhedlele zineenkqubo zomzimba ezibuthathaka. Kwakhona, ngenxa yotyando kunye neetyhubhu ezifakwa emzimbeni (ii-catheters, iityhubhu zokuphefumla, njl.njl.), iintsholongwane zinokungena emzimbeni. Kukwiimeko ezinjalo apho iintsholongwane ezifana neSerratia marcescens ziqala ukusebenza.

Omnye umceli mngeni omkhulu ngale ntsholongwane kukuba ngamanye amaxesha inokuba nokumelana nee-antibiotics esizinika zona. Oku kuthetha ukuba amayeza adla ngokunikezelwa kwiintsholongwane zebhaktiriya asenokungasebenzi kule ntsholongwane. Oku kwenza unyango lube nzima ngakumbi.

Zeziphi iingxaki zempilo ezinokubangela iSerratia marcescens?

Le ntsholongwane inokuchaphazela amalungu ahlukeneyo omzimba kwaye ibangele izifo ezahlukeneyo. Ngokukodwa:

• Usulelo lwendlela yokuphefumla: Umzekelo woku yi-pneumonia.
• Iintsholongwane zoMchamo (ii-UTI):Lo mngcipheko uphezulu kakhulu kubantu abane-catheter ye-Foley.
• Usulelo lwamehlo: Umzekelo, iimeko ezifana nokudumba kwe-cornea (keratitis). Ngamanye amaxesha, oku kunokubangelwa kukunxiba iilensi zokunxibelelana ezingcolileyo.
• Usulelo lwamanxeba: Le ntsholongwane inokosulela iindawo ezifana namanxeba otyando kunye nokutsha.
• Izifo zesisu: Iimeko ezinje ngokudumba kolwelo lwesisu (peritonitis).
• Usulelo lobuchopho kunye nomqolo: Oku kubizwa ngokuba yi-meningitis. Le yimeko embi kakhulu.
• Usulelo lwamathambo (`Osteomyelitis`).
• Ukudumba kolwelo lwangaphakathi lwentliziyo (endocarditis).
• Usulelo lwegazi (`Septicemia`): Le yimeko enobungozi kakhulu. Iyenzeka xa iintsholongwane zingena egazini.

Zithini iimpawu zale ntsholongwane?

Iimpawu zingahluka ngokuxhomekeke kwindawo onayo usulelo, kodwa kukho ezinye iimpawu eziqhelekileyo:

• Ifiva
• Ukungcangcazela ngenxa yokubanda
• Ukuziva udiniwe kakhulu (`Ukudinwa`)

Ngokuxhomekeke kwindawo ethile yosulelo, iimpawu zingabandakanya:

• Usulelo lwendlela yokuphefumla: ubunzima bokuphefumla, ukukhohlela, ngamanye amaxesha kunye ne-phlegm epinki, iintlungu zesifuba.
• Usulelo lwamehlo: Amehlo abomvu, amehlo anamanzi, iintlungu zamehlo, ubunzima bokujonga ukukhanya.
• Usulelo lomchamo: Ukutsha, iintlungu xa uchama, ukuchama rhoqo, kwaye ngamanye amaxesha umchamo opinki.
• I-Meningitis: Intloko ebuhlungu kakhulu, intamo eqinileyo , ukuhlanza, ukuva ukukhanya, ukudideka.

Umntu ufumana njani usulelo lweSerratia marcescens?

Amaxesha amaninzi, ezi ntsholongwane zisasazeka kwizibhedlele okanye kwiindawo zokhathalelo lwexesha elide. Zininzi iindlela ezisasazeka ngayo ezi ntsholongwane:

• Ukusuka komnye umntu ukuya komnye: Ingakumbi ezandleni zabasebenzi bezempilo, ukuba bachukumisa izigulana ngaphandle kokuhlamba izandla zabo kakuhle.
• Kwizixhobo zonyango ezingcolisiweyo.
• Ngezixhobo zonyango ezifakwe emzimbeni: Umzekelo, ngezinto ezifana ne-Foley catheter, ityhubhu yokuphefumla, okanye i-IV cannula.
• Kwezinye iimeko, ukusebenzisa iilensi zokunxibelelana ezingcolileyo kunokubangela usulelo lwamehlo.

Ngubani osengozini enkulu yokufumana olu sulelo?

Abanye abantu banamathuba amaninzi okufumana olu sulelo lweSerratia marcescens. Nazi:

• Abantu abaneenkqubo zomzimba ezibuthathaka: njengabaguli abane-HIV/AIDS, abo bafumene izitho zomzimba ezifakelweyo, kunye nabo banyangwa ngumhlaza.
• Izigulane ezinomhlaza.
• Abantu abanesifo seswekile (`iDiabetes Mellitus`).
• Abantu abasebenzisa izixhobo zonyango ezifakwe emzimbeni (umz., iityhubhu zokuphefumla, iityhubhu zokutyela, ii-catheters zomchamo) ixesha elide.
• Abo bafumana unyango lwexesha elide esibhedlele okanye kwenye indawo yokhathalelo lwempilo.
• Abantu abasele bethatha amayeza okubulala iintsholongwane ixesha elide, okanye abawasebenzisa rhoqo (oku kunokubulala iintsholongwane ezilungileyo emzimbeni kwaye kuvumele iintsholongwane ezimbi ukuba zikhule).
• Abantu abafaka amayeza ngemithambo yegazi nabo basengozini enkulu yokufumana ezi zifo.

Ngaba oku kungabangela iingxaki ezinkulu?

Ewe, usulelo lweSerratia marcescens, ingakumbi ukuba lungena egazini (septicemia), lunokubangela iingxaki ezinkulu. Ezona ziphambili zezi:

• I-Sepsis: Le yindlela umzimba osabela ngayo xa usuleleko luphezulu. Inokuba yingozi nakubomi.
• Ukothuka: Imeko apho uxinzelelo lwegazi luhla ngokuyingozi, nto leyo ebangela ukuba igazi lingafumaneki ngokwaneleyo kumalungu omzimba.
• Ukungasebenzi kakuhle kwamalungu omzimba: Amalungu abalulekileyo anjengezintso, imiphunga, nesibindi anokuyeka ukusebenza.

Yingakho kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza ukuba ukrokrela ukuba kukho usulelo olufana nolu.

Oogqirha bayichonga njani ngokuchanekileyo intsholongwane yeSerratia marcescens?

Ngokuxhomekeke kwiimpawu zakho kunye nenxalenye yomzimba wakho apho ukrokrela ukuba uneso sifo, ugqirha wakho uya kuyalela uvavanyo ukuqinisekisa ukuba unayo na intsholongwane yeSerratia marcescens. Oku kudla ngokubandakanya ukuthatha isampuli kwindawo enesifo kwaye uyikhulise kwilebhu. Le yindlela enokuchongwa ngayo intsholongwane.

Ungathatha iisampulu ezinje:

• I-sputum: I-mucus evela emiphungeni.
• Igazi.
• Umchamo.
• Iqhekeza lolwelo okanye izicubu ezithathwe enxebeni.
• Ulwelo lweCerebrospinal (CSF): Olu vavanyo lwenziwa ukuba kukho i-meningitis erhanelekayo.

Nje ukuba intsholongwane ichongwe ngolu vavanyo lwe-"culture", kwenziwa uvavanyo lokufumanisa ukuba yeyiphi i-antibiotic efanelekileyo kuyo (uvavanyo lobuthathaka be-antibiotic).

Ungayinyanga njani iSerratia marcescens?

Usulelo lweSerratia marcescens lunyangwa ngamayeza okubulala iintsholongwane . Nangona kunjalo, njengoko benditshilo ngaphambili, kuba le ntsholongwane ayimelani namanye amayeza okubulala iintsholongwane, kufuneka uvavanyo lwelabhoratri ukuze kuchongwe ukuba zeziphi na amayeza asebenza kakuhle kolu hlobo luthile lwentsholongwane.

Ngamanye amaxesha, iintlobo ezahlukeneyo zee-antibiotics zinokufuneka zinikwe kunye ukulawula usulelo. Ubude bonyango buyahluka ngokuxhomekeke kuhlobo kunye nobunzima bosulelo. Kubalulekile ukuthatha amayeza ngqo kwikhosi epheleleyo yonyango oluchazwe ngugqirha wakho, nokuba iimpawu zakho ziyancipha.

Ndifanele ndimbone nini ugqirha wam?

Ukuba ungumguli osesibhedlele, okanye usandula ukukhululwa esibhedlele, kwaye uqaphela naluphi na utshintsho olungaqhelekanga emzimbeni wakho okanye iimpawu zosulelo (ezifana nomkhuhlane, iintlungu, ukubetha kwentliziyo ngokukhawuleza, ukudinwa kakhulu), kubaluleke kakhulu ukwazisa iqela lakho lezonyango ngoko nangoko.

Nguwe oyazi kakuhle imizimba yakho. Ukuba uvakalelwa kukuba into ayilunganga, nokuba ayicacanga kwabanye ngelo xesha, qiniseka ukuba uyayitsho loo nto.

Ukuxilongwa kwangoko kunye nonyango kunokuthintela usulelo ekubeni lube yingozi.

Ndingalindela ntoni ukuba ndinolu sulelo?

Oko uza kujongana nako ngesifo seSerratia marcescens kuya kuxhomekeka kakhulu ekubeni sikweyiphi na indawo emzimbeni wesifo kunye nezinye iimeko zempilo (ii-comorbidities) osele unazo.

Umzekelo, izifo zomchamo (UTIs) zihlala zinyangwa kwaye zinyangeke ngempumelelo. Nangona kunjalo, ukuba iintsholongwane zingene egazini (septicemia), yimeko enzulu ngakumbi.

Eyona nto ibalulekileyo kukuthatha onke amayeza achazwe ngugqirha wakho, ngedosi efanelekileyo, ixesha elifanelekileyo. Musa ukuyeka ukuwathatha nokuba uzive ungcono kancinci. Ukwenza njalo kunokubangela ukuba usulelo lubuye okanye iintsholongwane zingabi namandla okumelana neyeza lokubulala iintsholongwane.

Ngaba usulelo lweSerratia marcescens lunokuthintelwa?

Ewe, kukho iindlela zokhuseleko kunye nokubulala iintsholongwane ezilandelwa ngabasebenzi bezempilo ukuthintela olu hlobo lwezifo ezifunyanwa esibhedlele. Ezi ziquka:

• Hlamba izandla zakho rhoqo nangendlela efanelekileyo.
• Ukucoca rhoqo iindawo ezikwimeko yesibhedlele ngezibulali-ntsholongwane.
• Ukunika amayeza okubulala iintsholongwane kuphela xa kukho usulelo lweentsholongwane kwaye kuncitshiswe ukusetyenziswa kwawo ngokungeyomfuneko.
• Ukubulala iintsholongwane ngokufanelekileyo kwizixhobo zonyango.
• Ukwahlula izigulane ezinezifo ezifana neSerratia marcescens ukuze zingasasazeki kwabanye.

Nawe unokunceda ekuthinteleni ezi zifo:

• Hlamba izandla zakho rhoqo, ingakumbi ukuba unyamekela umntu onenkqubo yomzimba yokuzikhusela ebuthathaka okanye umntu osandul’ ukuchitha ixesha esibhedlele.
• Ukuba unesixhobo sonyango esifakwe emzimbeni wakho, njenge-catheter, buza ugqirha wakho ukuba kufuneka usigcine ixesha elingakanani. Ukuzishiya ixesha elide ngokungeyomfuneko kwandisa umngcipheko wosulelo.

Okokugqibela, kufuneka nditsho

Abasebenzi bezempilo basebenza nzima ukugcina izibhedlele kunye neendawo zokhathalelo lwexesha elide zikhuselekile kangangoko kunokwenzeka. Nangona kunjalo, ngamanye amaxesha, iintsholongwane ezifana neSerratia marcescens zinokubangela usulelo olufunyanwa esibhedlele. Nangona ezinye izifo zinyangwa lula, ezinye zinokuba yingozi.

Ukuba wena okanye umntu omthandayo uneenkxalabo, amathandabuzo, okanye imibuzo malunga nokosuleleka yiSerratia marcescens, ungathandabuzi ukuthetha nogqirha ngayo. Baya kukwazi ukuphendula yonke imibuzo yakho.

Eyona nto ibalulekileyo kukunyamekela impilo yakho.

I-Serratia marcescens, usulelo lweebhaktheriya, usulelo lwe-nosocomial, ukuxhathisa ii-antibiotics, i-pink eye, i-UTI, i-pneumonia