Okudingeka ukwazi ngebhaktheriya iSerratia marcescens

Wake waphawula umbala opinki, ngezinye izikhathi obomvu, esitsheni sakho sokugeza noma sendlu yangasese? Cishe ubucabanga ukuthi insipho noma okuthile emanzini. Eqinisweni, kuvame ukubangelwa yibhaktheriya ebizwa ngokuthi iSerratia marcescens. Kodwa ungakhathazeki, ekhaya akuvamile ukubangela inkinga enkulu kumuntu ophilile. Kodwa-ke, ezindaweni ezifana nezibhedlela, ikakhulukazi kubantu abanezivikeli mzimba ezibuthakathaka, leli bhaktheriya lingaba yingozi kancane futhi lingabangela izifo ezahlukahlukene. Ake sixoxe ngalokhu ngokuningiliziwe.

Kuyini iSerratia marcescens?

Kalula nje, i-Serratia marcescens uhlobo lwebhaktheriya oluvame ukutholakala endaweni ezungezile. Atholakala ezindaweni eziningi, njengenhlabathi, amanzi, izitshalo, nezilwane. Athanda izindawo ezimanzi kakhulu. Njengoba ngishilo ekuqaleni, ungabona leli filimu elipinki endlini yakho yokugezela, endlini yangasese, futhi mhlawumbe ngisho nasesitsheni samanzi sesilwane sakho. Isizathu salokhu ukuthi leli bhaktheriya likhiqiza umbala obomvu obizwa ngokuthi `(Prodigiosin)`.

Cabanga ngale ndlela, leli gciwane lifana nesihambi esincane, esingabonakali. Likhona yonke indawo endaweni ezungezile, kodwa lisenza sigule kuphela ngezikhathi ezikhethekile.

Ezimweni eziningi, abantu abanesimiso somzimba sokuzivikela esinempilo abathinteki yileli gciwane emakhaya abo. Kodwa-ke, lokhu akusho ukuthi akufanele sinake ukuhlanzeka. Kubaluleke kakhulu ukugcina izindawo ezifana nezindlu zangasese nezindlu zangasese zihlanzekile ngaso sonke isikhathi.

Ngakho-ke lokhu kubangela kanjani ukugula, ikakhulukazi ezibhedlela?

Nasi iphuzu elibalulekile. Ukutheleleka kwe-Serratia marcescens kuvame ukubonwa ezibhedlela. Lokhu sikubiza ngokuthi ukutheleleka kwe-nosocomial. Okusho ukuthi, ukutheleleka okutholwa esibhedlela okwakungekho ngesikhathi sokwamukelwa.

Cabanga ngalokhu: Iningi leziguli esibhedlela linamasosha omzimba abuthakathaka. Futhi, ngenxa yokuhlinzwa kanye namapayipi afakwa emzimbeni (ama-catheter, amapayipi okuphefumula, njll.), amabhaktheriya avame ukungena emzimbeni. Kusezimweni ezinjalo lapho amabhaktheriya anjengeSerratia marcescens eqala ukusebenza khona.

Enye inselele enkulu ngaleli gciwane ukuthi ngezinye izikhathi lingaba nokumelana nama-antibiotic esilinika wona. Lokhu kusho ukuthi imithi evame ukunikezwa izifo zamagciwane ingase ingasebenzi kuleli gciwane. Lokhu kwenza ukwelashwa kube nzima kakhulu.

Yiziphi izinkinga zempilo ezingabangelwa yi-Serratia marcescens?

Leli gciwane lingathinta izingxenye ezahlukene zomzimba futhi libangele izifo ezahlukahlukene. Ngokukhethekile:

• Ukutheleleka kwemigudu yokuphefumula: Isibonelo salokhu yi-pneumonia.
• Izifo Zomgudu Womchamo (UTIs):Le ngozi iphezulu kakhulu kubantu abane-catheter ye-Foley.
• Ukutheleleka kwamehlo: Isibonelo, izimo ezifana nokuvuvukala kwe-cornea (i-keratitis). Ngezinye izikhathi, lokhu kungabangelwa nokugqoka amalensi okuxhumana angcolile.
• Ukutheleleka kwamanxeba: Leli gciwane lingathelela izindawo ezifana namanxeba okuhlinzwa kanye nokusha.
• Ukutheleleka kwesisu: Izimo ezinjengokuvuvukala kolwelwesi lwesisu (i-peritonitis).
• Ukutheleleka kobuchopho kanye nomgogodla: Lokhu kubizwa ngokuthi i-meningitis. Lesi yisimo esibucayi ngandlela thile.
• Ukutheleleka kwamathambo (`i-Osteomyelitis`).
• Ukuvuvukala kolwelwesi lwangaphakathi lwenhliziyo (i-endocarditis).
• Ukutheleleka Ngegazi (`Septicemia`): Lesi futhi yisimo esiyingozi kakhulu. Sivela lapho amagciwane engena egazini.

Ziyini izimpawu zalesi sifo?

Izimpawu zingase zihluke kuye ngokuthi unesifo sini, kodwa kunezinye izimpawu ezivamile:

• Imfiva
• Ukuthuthumela ngenxa yokubanda
• Ukuzizwa ukhathele kakhulu (`Ukudinwa`)

Kuye ngokuthi indawo ethile yokutheleleka ikuphi, izimpawu zingafaka:

• Ukutheleleka kwemigudu yokuphefumula: ubunzima bokuphefumula, ukukhwehlela, ngezinye izikhathi ne-phlegm epinki, ubuhlungu besifuba.
• Ukutheleleka kwamehlo: Amehlo abomvu, amehlo anamanzi, ubuhlungu bamehlo, ubunzima bokubheka ukukhanya.
• Ukutheleleka komgudu womchamo: Ukusha, ubuhlungu ngesikhathi sokuchama, ukuchama njalo, kanye nomchamo opinki ngezinye izikhathi.
• I-Meningitis: Ikhanda elibuhlungu kakhulu, intamo eqinile , ukuhlanza, ukuzwela ukukhanya, ukudideka.

Umuntu uthola kanjani ukutheleleka kweSerratia marcescens?

Ngokuvamile, lezi zifo zisakazeka ezibhedlela noma ezindaweni zokunakekelwa kwesikhathi eside. Kunezindlela eziningana ezingasakazeka ngazo igciwane:

• Ukusuka komunye umuntu kuya komunye: Ikakhulukazi ezandleni zabasebenzi bezempilo, uma bethinta iziguli ngaphandle kokugeza izandla zabo kahle.
• Kusukela emishinini yezokwelapha engcolile.
• Ngamadivayisi ezokwelapha afakwa emzimbeni: Isibonelo, ngezinto ezifana ne-Foley catheter, ipayipi lokuphefumula, noma i-IV cannula.
• Kwezinye izimo, ukusebenzisa amalensi okuxhumana angcolile nakho kungabangela ukutheleleka kwamehlo.

Ubani osengozini enkulu yokuthola lesi sifo?

Abanye abantu banamathuba amaningi okuthola lesi sifo se-Serratia marcescens. Yilezi:

• Abantu abanezivikeli mzimba ezibuthakathaka: njengeziguli ezine-HIV/AIDS, abantu abafakelwe izitho zomzimba, kanye nalabo abathola ukwelashwa komdlavuza.
• Iziguli zomdlavuza.
• Abantu abanesifo sikashukela (`i-Diabetes Mellitus`).
• Abantu abasebenzisa amadivayisi ezokwelapha afakwe emzimbeni (isib., amapayipi okuphefumula, amapayipi okuphakela, ama-catheter omchamo) isikhathi eside.
• Labo abathola ukwelashwa isikhathi eside esibhedlela noma kwesinye isikhungo sezempilo.
• Abantu asebethathe ama-antibiotic isikhathi eside, noma abawasebenzisa njalo (lokhu kungabulala amabhaktheriya amahle emzimbeni futhi kuvumele amabhaktheriya amabi ukuba akhule).
• Abantu abafaka izidakamizwa ngemithambo nabo basengozini enkulu yokuthola lezi zifo.

Ingabe lokhu kungabanga izinkinga ezinkulu?

Yebo, ukutheleleka kwe-Serratia marcescens, ikakhulukazi uma kungena egazini (i-septicemia), kungabangela izinkinga ezinkulu. Eziyinhloko yilezi:

• I-Sepsis: Lokhu kuyindlela umzimba osabela ngayo kakhulu ekuthelelekeni. Kungaba yingozi ngisho nokuphila.
• Ukushaqeka: Isimo lapho umfutho wegazi wehla khona ngendlela eyingozi, okuholela ekungahlinzekini kwegazi elanele ezithweni zomzimba.
• Ukwehluleka kwezitho zomzimba: Izitho ezibalulekile njengezinso, amaphaphu nesibindi zingase ziyeke ukusebenza.

Yingakho kubalulekile ukufuna iseluleko sezokwelapha ngokushesha uma usola ukutheleleka okufana nalokhu.

Odokotela bakuthola kanjani ngokunembile ukutheleleka kweSerratia marcescens?

Kuye ngezimpawu zakho kanye nengxenye yomzimba wakho lapho usola khona ukuthi unesifo, udokotela wakho uzoyala ukuhlolwa ukuqinisekisa ukuthi unesifo seSerratia marcescens. Lokhu kuvame ukuhilela ukuthatha isampula endaweni enesifo bese uyitshala elabhorethri. Lena yindlela amagciwane angatholakala ngayo.

Ungathatha amasampula anjengalawa:

• I-sputum: I-mucus evela emaphashini.
• Igazi.
• Umchamo.
• Ucezu loketshezi noma izicubu ezithathwe esilondeni.
• Uketshezi lwe-cerebrospinal (CSF): Lolu vivinyo lwenziwa uma kusolwa ukuthi kukhona i-meningitis.

Uma amabhaktheriya esetholakele ngalolu vivinyo "lwesiko", kwenziwa nokuhlolwa ukuthola ukuthi iyiphi i-antibiotic efanele yona (ukuhlolwa kokuzwela kwama-antibiotic).

Indlela yokwelapha i-Serratia marcescens?

Ukutheleleka kwe-Serratia marcescens kwelashwa ngama -antibiotic . Kodwa-ke, njengoba ngishilo ngaphambili, ngoba leli gciwane limelana namanye ama-antibiotic, kudingeka ukuhlolwa kwelabhorethri ukuze kutholakale ukuthi yimiphi imithi ephumelela kakhulu kulolu hlobo oluthile lwamagciwane.

Ngezinye izikhathi, izinhlobo eziningana zama-antibiotic zingadinga ukunikezwa ndawonye ukulawula ukutheleleka. Isikhathi sokwelashwa siyahlukahluka kuye ngohlobo kanye nobukhali bokutheleleka. Kubalulekile ukuthatha umuthi ngqo kuze kube yilapho unikezwa ukwelashwa okunqunywe udokotela wakho, noma ngabe izimpawu zakho ziyancipha.

Kufanele ngimbone nini udokotela wami?

Uma uyisiguli esibhedlela, noma usanda kukhishwa esibhedlela, futhi ubona noma yiziphi izinguquko ezingavamile emzimbeni wakho noma izimpawu zokutheleleka (njengomkhuhlane, ubuhlungu, ukushaya kwenhliziyo okusheshayo, ukukhathala okukhulu), kubaluleke kakhulu ukwazisa ithimba lakho lezokwelapha ngokushesha.

Nguwe owazi kahle umzimba wakho. Uma unomuzwa wokuthi okuthile akulungile, noma ngabe akubonakali kwabanye ngaleso sikhathi, qiniseka ukuthi uyabatshela.

Ukuxilongwa kusenesikhathi kanye nokwelashwa kungavimbela ukutheleleka ukuthi kube kubi kakhulu.

Yini engingayilindela uma nginalesi sifo?

Lokho ozobhekana nakho ngokutheleleka kwe-Serratia marcescens kuzoncika kakhulu ekutheni ukutheleleka kukuphi emzimbeni nokuthi yiziphi ezinye izimo zezokwelapha (ama-comorbidities) osunazo kakade.

Isibonelo, izifo zomgudu womchamo (UTIs) zivame ukwelashwa ngempumelelo futhi zelapheke. Kodwa-ke, uma amagciwane engene egazini (septicemia), kuyisimo esibi kakhulu.

Into ebaluleke kakhulu ukuphuza yonke imithi udokotela wakho ayinikezayo, ngesilinganiso esifanele, isikhathi esifanele. Ungayeki ukuthatha imithi noma ngabe uzizwa ungcono kancane. Ukwenza kanjalo kungabangela ukuthi ukutheleleka kubuye noma amabhaktheriya abe nokumelana nemithi elwa namagciwane.

Ingabe ukutheleleka kwe-Serratia marcescens kungavinjelwa?

Yebo, kunezindlela zokuphepha kanye nokubulala amagciwane ezilandelwa ngabasebenzi bezempilo ukuvimbela lezi zinhlobo zezifo ezitholakala esibhedlela. Lokhu kufaka phakathi:

• Geza izandla zakho njalo nangendlela efanele.
• Hlanza njalo izindawo ezisendaweni yesibhedlela ngezibulala-magciwane.
• Ukunikeza imithi yokulwa namagciwane kuphela uma kuziwa ezifweni ezibangelwa amagciwane nokunciphisa ukusetshenziswa kwawo ngokungadingekile.
• Ukuhlanza kahle imishini yezokwelapha.
• Ukuhlukanisa iziguli ezinezifo ezifana neSerratia marcescens ukuze zingasabalali kwabanye.

Nawe ungasiza ekuvimbeleni lezi zifo:

• Geza izandla zakho njalo, ikakhulukazi uma unakekela umuntu onesimiso somzimba esibuthakathaka noma umuntu osanda kuchitha isikhathi esibhedlela.
• Uma unedivayisi yezokwelapha efakwe emzimbeni wakho, njenge-catheter, buza udokotela wakho ukuthi kufanele uyigcine isikhathi esingakanani. Ukuyishiya isikhathi eside ngokungadingekile kwandisa ingozi yokutheleleka.

Ekugcineni, kufanele ngithi

Izisebenzi zezempilo zisebenza kanzima ukugcina izibhedlela nezindawo zokunakekelwa kwesikhathi eside ziphephile ngangokunokwenzeka. Kodwa-ke, ngezinye izikhathi, amagciwane anjengeSerratia marcescens angabangela izifo ezitholakala esibhedlela. Nakuba ezinye izifo zelashwa kalula, ezinye zingaba zimbi kakhulu.

Uma wena noma othandekayo wakho ninokukhathazeka, ukungabaza, noma imibuzo mayelana nokutheleleka kweSerratia marcescens, ungangabazi ukukhuluma nodokotela ngakho. Bazokwazi ukuphendula yonke imibuzo yakho.

Into ebaluleke kakhulu ukunakekela impilo yakho.

I-Serratia marcescens, ukutheleleka ngamagciwane, ukutheleleka kwe-nosocomial, ukumelana nama-antibiotic, iso elipinki, i-UTI, i-pneumonia