Proteus bacterium inokonzera ruzivo rwekuvhenekera

Iyi bhakitiriya ndeyomhuri ye enterobacteria. Uye pakati pevamwe vamiririri ve "mhuri" yakadai saKlebsiella uye Escherichia, inogona kukanganisa migumisiro yakaipa. Kunyange zvazvo zvitatu zvezvipenyu izvi zvinowanzogara mumuviri sevanhu vanogara mumugwagwa wekudya. Kazhinji, bhakitiriya reprotey rinoramba riripo kune vanhu vari pedyo - muchekegartens uye zvipatara.

Muzvipatara, bhakitiriya iri inorarama paganda uye mucous membrane yevari vaviri nevaridzi. Zvisinei, zvirwere zvinokonzerwa nechikanganiso chake hazvishamisi, chikamu cheproteas pakati pezvipatara-chakawana zvirwere chiduku. Vanorwara vanowanzova nevanhu vane dambudziko rekuchengetedzwa kwezvirwere (vane HIV kana zvimwe zvirwere zvekudzivirira muviri), pamwe nevarwere vane chirwere chisingawanzocheka chekuvhota kana avo vanoda kuisa catheter mumugwagwa wemuguta. Ndiyo apo bhakitiriya Proteus inogona kuzviratidza.

Zvimwe zvakasiyana zveProteus mirabilis zvinokonzera chirwere ichi kakawanda. Iine vhudzi rakabvumira rinobvumira kuti ribatanidzwe pamasvingo e-endothelium emugadziro wemuguta, uye kubatisisa kumasere akabatanidzwa evanhu vane mhuka. Kazhinji, mabhakitiriya eproteus anokonzera apoptosis yemasero ehupenyu hwemhuka, semugumisi wevashanyi vasina kugamuchirwa, "kuputika" pamwe chete neexfoliated yakafa seke epithelium. Zvisinei, izvi hazvina kunaka. Mukuwedzera, Proteus bhakteriya inobereka yakaipa yeutrogen enzyme, iyo inowedzera mikana ye pyelonephritis kakawanda. Saka iyo inotyisa proteus isingafadzi, uye zvinogona kuoma.

Apo bhakitiriya inopinda muropa, rinobudisa endotoxin (fragment yechipinda chemasero), iyo inokonzera kupikisa kwakasimba kwazvo. Mune vamwe varwere, izvi zvinogona kukonzera sepsis, kunyange zvazvo zvingave zviduku zvikuru. Uye kunyange zvakadaro mikana yekugadzirisa zvirongwa zvekugadzirisa zvinokwanisika, uye kufa kune nayo kunogona kuva 20-50% kunyange munguva yedu. Kazhinji, izvi zvinowanzoitika kune varwere vanopedza nguva refu muzvipatara uye avo vanogara vachida kuchinja catheter, kureva kuti, iyo urinary tract iri nguva dzose inetseka.

Iyo bhakitiriya proteus inogadzirisa urini, ichiikurira kuammonium, saka iyo inogadzirisa zvinokonzera mamiriro ezvinhu akanaka kwaari. Zvisinei, iyi inongova hafu yechinetso. Yechipiri ndechokuti inokonzera kugadzirwa kwemajosa asinganzwisisiki - struvite. Asi ichi chinhu chakakomba zvikuru kune vanhu vakange vatotoda kupinda katheta nguva dzose. Aya mabwe akabatanidzwa nema phosphates uye anoparara muyimbi yakasimba. Asi proteium inotsigira zvirimwa zvealkaline.

Vakawanda vakadzi vane utachiona, mukana wehutano pakati pevaya vane catheter nguva dzose ndeye 10-15%, muhuwandu hwehutachiona hwehutachiona huno muhuwandu ndewechipiri (mushure mekunge pneumonia).

Vanobata sei Proteus? Proteus mirabilis inofarira cephalosporins, iyo isingagoni kutaurwa nezveproteus vulgaris. Kurapa munyaya ino kunoda kubatanidzwa kweimwe mishonga inorwisa mabhakitiriya, sulbactam uye meropenem. Proteus vulgaris haikwanisi kukonzera zvirwere zvemugodhi.

Kana murwere ane urinha yeakari pamwe nekunyunyuta kwemarwadzo, izvi zvinotungamirira chiremba kuenda kune pfungwa yehutachiona neproteus. Muchiitiko ichi, kosi yevhiki mbiri ye quinolones uye gentamicin inorayirwa, zvechokwadi, havasi varwere vose vakanyatsorambidzwa nechekupedzisira, asi inoshanda chaizvo. Nokuti inoparadza kwete chete proteus, asiwo dzimwe zvirwere zvinogona kuitika.

Mushure mekurapwa kwechipatara, kutarisirwa kunofanira kutorwa kuti kuderedze kudiwa kwe catheter. Murwere anofanira kuwana mvura yakawanda, kuitira kuti nzira yekuchenesa muviri wehutachiona inokurumidza. Proteus haina kunyatsodikanwa kutya munhu wese, inobata kwete kunyange munhu wose ane dambudziko rekuchengetedza muviri, uyezve, muzvipatara zviri kurwisana nazvo, saka bhakitiriya reprotei nderokufungisisa kwachiremba, uye kwete hama dzemurwere.