Klebsiella iri weti: pakurapa chirwere

Klebsiella chirwere - chimwe chezvinhu zvakafanana zvirwere kuva yakafara kunotoda mufananidzo kubva nyoro zviratidzo kune septic kuratidzwa. Microorganism ndohwaJehovha muchikwata che mikana, kureva vaya vanogona kurarama munyika mucous membranes, pasina anokonzera kukura zvokurwara.

Klebsiella ari weti, mutsvina yadzo kana zvimwe muviri zvinwiwa zvinokosha chirwere chinhu yaida zvizere kuongororwa uye kutsunga kurapwa regimens.

Imhandoi muviri?

Klebsiella - mumiririri enterobacteria, inova chikamu microflora pamusoro intestinal turakiti kwevanhu. Rine zvinotevera zviri:

• Giremu negative bacilli;
• diki kwemavara;
• wakaiswa;
• It kuroorwa, vari vaviri vaviri kana muchimiro necheni;
• anaerobe (Anowanza pasina okisijeni, asi anogona kurarama uye kana ani);
• It anokwanisa kuti encapsulated kuti uchatamisa rwakashata ezvinhu.

By mhando musiyano klebsiellu nemabayo, Klebsiella oksitoku, seinä-Frisch Volkovich, seinä Abheri-Lavenberga, Klebsiella Terrigenous, Klebsiella plantikolu. Kakawanda, zviri pokukundwa nhengo airevawo nezvemarudzi maviri utachiona okutanga.

Zvinokonzera chirwere

The utachiona munhu anova tsime kupararira chirwere. The zvokurwara vangapikisa sezvo pulmonary anogumbura kwendangariro. Panyaya iyi, utachiona kupinda nhengo yasvibiswa inhaled mhepo kana muchitaura, vangakosora, sneezing. Fecal-zvokuudzwa nzira chirwere runozivisa pathological utachiona vachipinda nemudumbu. Izvi zvinoitika kuburikidza asina kushambwa nemaoko, zvokudya.

Ngozi chirwere yakawedzera kuti zvinotevera mapoka:

• vana kubva pakuberekwa nevacheche vacheche;
• vanhu vakwegura;
• Varwere chisingaperi pathologies;
• Varwere vane nhoroondo transplantation;
• chirwere chisingaperi udhakwa, kupindwa muropa nezvinodhaka.

Klebsiella anogona kuva nguva refu pashure ingestion ane yakachengeteka epfungwa. Asi pane zvimwe provocateurs zvinokonzera kukonzera kuchinja utachiona vari pathological ezvinhu achishandisa basa kukura uye chokuwanziridza:

• Low kwevari masoja kudzivirira (HIV, Prematurity, kwakaderera muviri mushure zvirwere);
• nzvimbo dzisina utsanana uye kutyorwa utano mitemo - nemaoko asina kushambwa, mhuka dander, uye kunyange mukaka kunogona kukonzera kuti Klebsiella dzakaonekwa muna weti;
• kushandiswa kwenguva yakareba inorwisa mabhakitiriya;
• kufema kutapukirwa noutachiona;
• systemic chirwere (semuenzaniso, chirwere cheshuga);
• muropa (zvinodhaka, doro).

chibayo

Zvichienderana pathway ari microorganism vari maronda akasiyana hurongwa: kufema, genitourinary, kweropa, nemudumbu, mhuno uye yokumusoro kufema turakiti. Varwere unonetsa unopinza kuwedzera kupisa, utera, vangadikitira, vachidedereswa. Rinooneka chikosoro yakaoma, iyo gare gare inova nokupfunha pamberi mitaro vari chokubuda ropa uye pus. Sputum ndiyo munhuwi kuora, kupfupika mweya kunyange zororo. On X-ray anooneka infiltrates akasiyana saizi, izvo zvingava kuroorwa kana batanidza nemumwe. Kushaya nenguva kurapa kunotungamirira kuti kungotaurawo chirwere pamwe yokupindira nedzimwe nhengo (uropi, chiropa, neitsvo).

Ndizvo pachena Klebsiella. Nemabayo ari weti zvinogona kuonekwa nokuda kwayo pavanopinda muropa kuti nhengo iri urogenital hurongwa.

Rinoskleroma uye kukundwa rokumusoro kufema turakiti

Mucous membranes kuonekwa granulomas, izvo vemunyika utachiona. Murwere anonyunyuta tinyanye kuzara, zvisingagone kubviswa vasoconstrictor zvinodhaka. The nasal crusts kuoneka, inongorira kunhuwa ropa panguva rokubvisa.

Gare gare mucosa atrophies, munhu hunoguma kunzwisisa Rinofembedza zvakakwana. A shoma viscous gobvu madzihwa riri nyore kuenda. Kubatana kutekenyedzwa kuti bundu iri huro, tickling, fivha shoma-mugiredhi.

gastrointestinal chirwere

The chirwere kakawanda kukonzerwa zviviri tsotso: Klebsiella nemabayo uye oksitokoy. Zvichienderana apo kwemabhakitiriya dziri, anogona kuva gastritis, enterocolitis, enteritis. Murwere anosangana zvinotevera zviratidzo chirwere:

• nomudumbu. marwadzo;
• tichibatwa chirungurira;
• svoto uye kurutsa;
• kushaya havi;
• simba;
• nefivha yakasimba;
• Liquid kakawanda zvituru mitsetse neropa, madzihwa, girini makwapa akasvibirika ane zvakaora kunhuwa.

Klebsiella oxytoca ari weti, uyewo nemabayo utachiona, ndakatsunga pamusoro pakanyorwa kumuka kana akawira chirwere hematogenous nzira. Izvi ndizvo kuti vachangoberekwa navacheche, uye vakwegura, uyo kwezvikonzero zvokurapa havagoni kushumira pachavo.

The kukundwa of genitourinary hurongwa

Klebsiella iri weti mwana kana akura anogona kutaura pamusoro chikuru noutachiona nezvezvimwe zvinetso zvedundira turakiti uye dzokubereka nadzo. The chirwere chinogona kuitika sezvo chakasimba kana chirwere pyelonephritis, cystitis, prostatic kuzvimba. Clinical Kuratidza chirwere asina zvakasiyana specificity, saka, zvinoda yakarurama differential zvawanikwa.

Nokuti klebsielleznogo cystitis kunoratidzwa:

• kakawanda rwadza weti;
• kuvaviwa uye pamoto;
• weti anova turbid dzinounzwa dropwise, anogona kuva marara ropa;
• nefivha yakaderera-vegiredhi;
• svoto;
• Klebsiella ari weti, zvakatemwa nokuda bacteriological nzira.

Pyelonephritis kunoratidzwa sezvinotevera:

• fivhiri;
• vachirwadziwa marwadzo ari lumbar nharaunda;
• dysuria achiperekedzwa nounyoro;
• dyspeptic zviratidzo zvakadai svoto uye kurutsa;
• Zviratidzo kudhaka;
• Klebsiella ari weti, zvakatemwa nokuda bacteriological nzira.

Zviratidzo prostatitis:

• dysuria;
• kunzwa kuti dundira iri kuramba zvizere;
• marwadzo ari muhudyu uye dumbu;
• pabonde basa zvirwere;
• kutya, kuora mwoyo;
• Klebsiella ari weti detectable nokuda bacteriological zvidzidzo.

Features utachiona pamuviri

HweHIV pamuviri zvemapapu rinenge kunogona mutsekwende azvarwa, sezvo utachiona vane pfuma rokuumba infiltrates kuchiiswa mberi nokuda connective tishu. mumwe muitiro kwakadaro kunoderedza okisijeni iri vaipa kwete chete kune mai asiwo kune mwana.

Sei kurapwa Klebsiella? Nemabayo ari weti panguva pamuviri zvinoda kushandiswa kwemishonga inorwisa mabhakitiriya, uye nzendo embryo kukura mangwanani hwakazara pakupona uye kunotouraya. Kuti yekuzvidzivirira abnormalities zvakadaro, vakadzi vane pamuviri vane Nachiremba mishonga pachinzvimbo bacteriophages. Ivowo kunobudirira pamusoro Klebsiella, asi zvishoma zvinorwadza muviri vomwana.

HweHIV vachangoberekwa uye vacheche

The chirwere runozivisa vakurumidze vacheche vane zviratidzo zvechirwere lesion ari nechepakati tsinga uye tsandanyama gadziriro. Giremu negative bacilli kunogona chero nhengo kusvikira kukura ropa nomuchetura. Tikafunga simba toxicity vachangoberekwa vanogona kurasikirwa kusvika 0.5 makirogiramu vayo pasi uremu uye zvichingodaro mukati memazuva 2-3 kubva pakatanga chirwere. Skin anova pfumbu nezviratidzo acrocyanosis. Makagamuchira zvinotevera kiriniki:

• pfari;
• nefivha yakasimba;
• hemodynamic nyonganyonga;
• kuvadza pomwoyo;
• acidosis.

Klebsiella ari weti iri vacheche uye achangoberekwa kuonekwe nekuda kwake raparadza hematogenous kana achikwira kuburikidza Urinary zvomukati uchikurukura mutsvina yadzo.

Nzira nokuti kutsunga iri weti Klebsiella

Zvinotevera chirwere nzira:

• Microscopy - zvinhu rinoshandisirwa pamusoro Petri mundiro, kwaitungamirirwa giremu staining.
• Bacteriological nzira - mashoko chinodyarwa pamusoro rakaorera pasi uye kuongorora chokupika microbial kukura.
• Serological nzira - kusarudza kuvapo uye pamwero antibodies vari serum murwere kuti causative mutumwa chirwere.
• Common zvekuchipatara miedzo coprogram, richishanda nzira.

kurapa Features

Klebsiella iri weti, mishonga izvo zvinofanira kuva yakakodzera uye chinoratidza, zvinoda kugadzwa kuva causal, pathogenetic uye posindromalnoy mishonga. kuratidzwa Chiedza chirwere kubvumira outpatient kurapwa, asi mune dzimwe nguva zvinoda muchipatara muchipatara chirwere wadhi chirwere.

Nokuti outpatient kurapa kushandiswa:

• Probiotics - zvinodhaka, kuderedza chokupika kwomuzvarirwo microflora. Representatives - "Bifiform", "Lactobacterin", "Bifikol", "Linex". Tora kwemazuva 10-14.
• Bacteriophages zvinogona kushandiswa kubva pakuberekwa. The chipimo chemushonga anosarudzwa chiremba zvichienderana murwere zera.

Pfungwa iri kurapa zvaiitwa akashandisa uye kana Klebsiella akatsunga weti panguva pamuviri.

Children kusvikira kuyaruka, uye vanhu vane kwazvo chimiro chirwere, vanofanira kuva zvairayirwa muchipatara. Muzviitiko zvakadaro raitongwa antibacterial vamiririri vane tichisunga vamiririri tsanangudzo aikanganiswa zvinodhaka. Zvichienderana nezera boka akasarudza zvinotevera inorwisa mabhakitiriya:

• penicillins - "Ampicillin", "Ampioks";
• aminoglycosides - "streptomycin yakawanikwa", "monomitsin";
• cephalosporins - "cefotaxime" "Ceftriaxone";
• tetracyclines - "tetraolean" "Tetracycline";
• fluoroquinolones - "Ciprofloxacin", "Ofloxacin".

Pathogenetic kurapa zvinoda kushandiswa fivha-kuderedza, detoxification zvinodhaka, uyewo mari rehydration. Mazvikokota anogona vanonyorera zvinodhaka antiemetic uye expectorant mishonga. The mushonga asina akagadzirirwa kudzivisa chirwere pamwe Klebsiella. Matanho vari Utsanana dzidzo yevana, achisimbisa masoja emuviri uye nenguva kurapwa echirwere foci chirwere pamuviri.