Ungamangaliswa kukufumanisa ukuba kukho izigidigidi zeebhaktheriya ezihlala emizimbeni yethu. Yinyani leyo. Ezi bhaktheriya zihlala kwiindawo ezifana namathumbu ethu kunye neenkqubo zokuzala. Uninzi lwazo zenza izinto ezilungileyo, njengokusinceda sitye ukutya esikutyayo kwaye zichaphazele indlela esivakalelwa ngayo. Kodwa ngamanye amaxesha, ezinye zezi bhaktheriya zinokusibangela iingxaki ezinkulu. Namhlanje siza kuthetha ngolunye uhlobo lwebhaktheriya.
Zithini ii-Enterococci?
Ngamafutshane, i-enterococci liqela leebhaktheriya ezihlala emathunjini ethu. Enyanisweni, zinokufumaneka emathunjini phantse kuzo zonke izilwanyana emhlabeni. Nangona kukho iintlobo ezingaphezu kwe-17 kweli qela, zimbalwa iintlobo ezibangela usulelo ebantwini. Kwezi, zimbini eziphambili zezi:
- I-Enterococcus faecalis (E. faecalis)
- I-Enterococcus faecium (E. faecium)
Eyona ngxaki inkulu ngezi ntsholongwane kukuba kunzima kakhulu ukuzinyanga. Isizathu kukuba ezi ntsholongwane azinakubulawa lula zii -antibiotics eziqhelekileyo. Ngamanye amazwi, azinamayeza amaninzi .
Ingaba olu sulelo lwenzeka njani?
Uhlobo oluqhelekileyo losulelo lwe-enterococcal ebantwini lubangelwa yintsholongwane ebizwa ngokuba yi-Enterococcus faecalis. Le ntsholongwane ikhethekile kuba inokuphila kwiimeko ezahlukeneyo zendalo, kuquka ubushushu obugqithisileyo nokubanda. Ukongeza emathunjini ethu, le ntsholongwane inokuphila nasemilonyeni yethu nakwizitho zangasese zabasetyhini.
Ngenxa yezi zakhono zikhethekileyo zale bhaktiriya, uninzi lwee-antibiotics alusebenzi ngokuchasene nezi zifo. Umzekelo, le bhaktiriya inokumelana nezinye zezi antibiotic zilandelayo:
| Udidi lwamayeza e-antibiotic | Imizekelo |
|---|---|
| Iipenicillin | I-Penicillin, i-Ampicillin, i-Amoxicillin |
| IiCephalosporins | Ayinakumelana ne-cephalosporins ezininzi. |
| IiGlycopeptides | I-Vancomycin (ekwaziwa ngokuba yi-Vancomycin-Resistant Enterococci – VRE) |
Ziziphi iingxaki zempilo ezinokubangelwa yi-Enterococci?
Ezi ntsholongwane zixhaphake kakhulu kwizibhedlele. Ngokwezibalo, ingakumbi kumazwe afana ne-United States, inani elikhulu lezifo zomchamo , izifo zamanxeba , izifo zegazi, kunye nosulelo lwentliziyo zixelwa minyaka le ngenxa yale ntsholongwane. Makhe sijonge nganye kwezi zifo ngokwahlukeneyo.
| Uhlobo losulelo | Inkcazo kunye neempawu |
|---|---|
| Iintsholongwane zoMchamo (UTIs) | Usulelo naphi na kwinkqubo yakho yomchamo (izintso, isinyi, urethra). Abafazi basengozini enkulu. Iimpawu: – Ukufuna ukuchama rhoqo – Ukutsha kunye nentlungu xa uchama – Umchamo onamafu, obomvu, opinki, okanye omnyama – Intlungu yesisu esisezantsi |
| Iintsholongwane zamanxeba | Ukosuleleka kwamanxeba, imikrwelo, ukulunywa zizilwanyana, amanxeba afakwe imithungo, njl. Ngokuqhelekileyo kunokwenzeka kwiiyure ezingama-24-72. Iimpawu: – Ukukhupha ubofu enxebeni – Ukusasaza ubomvu enxebeni – Ukwanda kwentlungu kunye nokudumba - Ifiva – Ii-lymph nodes ezidumbileyo |
| Iibhaktheriya ezingena egazini (iBacteremia) | Usulelo emzimbeni (umz. usulelo lomchamo) lusasazeka luye egazini. Le yimeko eyingozi kakhulu. Iimpawu: – Umkhuhlane kunye nokubanda – Isicaphucaphu, ukuhlanza - Ubunzima bokuphefumla, ukubetha kwentliziyo ngokukhawuleza – Ukudideka okanye ukulahlekelwa zingqondo |
| Usulelo lwevalvu yentliziyo (i-Endocarditis) | Iintsholongwane ezisasazeka egazini zinokunamathela kwi-membrane ye-valve yentliziyo kunye nentliziyo, zibangele usulelo. Le yimeko enzulu kakhulu . Iimpawu: – Iimpawu zomkhuhlane okanye umkhuhlane, ezinje ngomkhuhlane, iintlungu zomzimba, kunye nokubila ebusuku - Intliziyo entsha ikhalaza – Amaqhuqhuva amancinci ezandleni okanye ezinyaweni |
Isasazeka njani le ntsholongwane?
Usulelo lwe-E. faecalis ludla ngokusasazeka esibhedlele. Isizathu esiphambili soku kukuba abaguli abakwisibhedlele banesistim somzimba esibuthathaka .
Amaxesha amaninzi, le ntsholongwane idluliselwa ngabasebenzi basesibhedlele. Abanye babo banokuphila emathunjini abo ngaphandle kokubangela naziphi na iimpawu. Kwakhona, le ntsholongwane inokusasazeka kwizigulana ngezixhobo zonyango ezisetyenziswa ezibhedlele.
Kungoko ke kubaluleke kakhulu ukuba izibhedlele zilandele ngokungqongqo ucoceko, ukubulala iintsholongwane, kunye neenkqubo zokubulala iintsholongwane. Kwizibhedlele apho iinkqubo ezinjalo zisetyenziswa kakuhle, umngcipheko wokusasaza ezo zifo uphantsi kakhulu.
Zinyangwa njani ezi zifo?
Njengoko besitshilo ngaphambili, ukunyanga izifo ezibangelwa yi-E. faecalis kunzima kuba le ntsholongwane ayixhathisi kwiintsholongwane ezininzi.
Ngoko ke, oogqirha badla ngokunyanga ngokudibanisa iintlobo ezimbini zamayeza. Umzekelo, iyeza elichaphazela udonga lweseli yebhaktheriya (umz., i-penicillin, i-ampicillin, i-vancomycin) linikwa kunye ne -aminoglycoside (umz., i-gentamicin, i-streptomycin).
Nangona kunjalo, iimeko ezinzulu ngakumbi, ezifana nosulelo lolusu kunye nosulelo lwevalvu yentliziyo (i-endocarditis), zinokufuna indibaniselwano eyahlukileyo yamayeza. Nangona kunjalo, iimeko ezifana nosulelo lwendlela yomchamo (ii-UTI) kulula ukuzinyanga. I-antibiotic enye, efana ne-ampicillin, inokwanela.
Eyona nto ibalulekileyo kukuba kuba ezi zizifo ezinzulu, ukuba uneempawu ezinje, ingakumbi emva kokuba ungeniswe esibhedlele, kufuneka ubone ugqirha wakho ngoko nangoko.Ungaze uzame ukuzinyanga. Unyango lufanele lugqitywe ngugqirha kuphela emva kokuba ehlole imeko yakho.
Umyalezo Wokuya Ekhaya
- I-Enterococci luhlobo lweebhaktheriya ezihlala emathunjini ethu, kodwa kwezinye iimeko zinokubangela usulelo olukhulu.
- Ezi zifo zidla ngokuba zixhaphakile kwizigulana ezilaliswe esibhedlele kwaye kunzima ukuzinyanga kuba azinazo ii-antibiotics ezininzi.
- Izifo ezahlukeneyo zinokwenzeka, ukusuka kwizifo zomchamo kunye nezifo zamanxeba ukuya kwizifo ezisongela ubomi ezifana negazi kunye nentliziyo (`Bacteremia`, `Endocarditis`).
- Ukunamathela kwimigaqo yococeko engqongqo ezibhedlele kubaluleke kakhulu ukuthintela ezi zifo.
- Ukuba uneempawu ezinje ngomkhuhlane, usulelo lwamanxeba, okanye usulelo lomchamo, ingakumbi emva kokuba uphumile esibhedlele, funa ingcebiso kagqirha ngokukhawuleza.
I-Enterococci, i-Enterococcus faecalis, usulelo lweebhaktheriya, usulelo lwasesibhedlele, ukuxhathisa ii-antibiotics, usulelo lomchamo, usulelo lwamanxeba
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