Pseudomonas chirwere. Pseudomonas aeruginosa (Pseudomonas aeruginosa)

Nokuti hwangu hwose akura upenyu, mumwe munhu panyika iri kurwiswa nechikara siyana utachiona, mabhakitiriya. Vamwe vakokwa ngozi vanosiya vanoverengeka nemigumisiro uye zvakaoma kunzwisisa kuti kuitika vakwegura. Mumwe utachiona hwakakura ane basa, basa ivo vanozivikanwa munzira dzakasiyana, uye, naizvozvovo, chaiyo kurapwa kwavari nomumwe.

In okurapa, hwakanyorwa yakawanda zvirwere ngozi, pamusoro vanhuwo murume haisi kutomboziva. Izvi zvinosanganisira Pseudomonas chirwere kunokonzerwa Kurovedza asporogenous seinä mhando Pseudomonas aeruginosa. Ichi motile Mabhakitiriya, vaikwanisa processing kabhoni manyuko mune zvakatipoteredza.

The chikuru chinhu ndechokuti kuramba nayo haatarisiri anokosha zvinokurisa mashandiro zvinokosha, zvinoita anonyatsorayiridzwa kujairana uye inoparadzirwa mu svikiro pamwe kusavapo makemikari nyaya zvizere. Anogona kuvapo kunyange mishonga yokuuraya utachiona uye munguva dzose kwakadonhera mvura.

Chinangwa chikuru chebhuku yanhasi iri hwakadzama nhanganyaya kurapwa-epidemiological ehupfumi kuti utachiona ichi, Kutsunga asingaurayiwi mishonga. Tichatevera kukuratidza chii ngozi nosocomial zvirwere, izvo zvinosanganisira zvokurwara, uye dzidza nezvenzira kurapa kungaitwa pane kwakajairika.

mamiriro

Official Science 140 anozivikanwa mhando giremu negative mabhakitiriya ari subspecies. Nzvimbo chikuru dzinogarisana - zvakatipoteredza. Utachiona hwakakura anoda ivhu nyoro, mvura uye mhenyu mukati nezvinomera zvomudumbu turakiti mhuka uye kunyange vanhu. Utachiona Pseudomonas aeruginosa zvahunokura panguva tembiricha kuti kubvira 37 kusvika 42 madhigirii, uye Achiwanza kushingaira kukura nokukurumidza.

Utachiona hwakakura chiine ngozi vanhu, nemishonga pamusoro vakawanda antibacterial uye inorwisa utachiona nevamiririri. Zvinokosha kucherechedza kuti 10% vanhu utano, utachiona dzawanikwa ganda iri groin munharaunda, pedyo nzeve, mhuno, huro uye mucous ari Zvinoumba intestinal microflora.

Sayenzi kunoratidza kuti ngozi chirwere ngozi iripo, kana nhamba P. aeruginosa pfuura zvinobvumidzwa nemiganhu. Zvikuru kubatwa zvakakomba pathological dzinotsanagura vanhu vane chirwere zvirwere, simba zvirwere. Nayo utachiona abate aerosol, zvokudya, mhuri-kuonana nenzira. Maererano nenhamba, kazhinji hweHIV rinowanikwa muchipatara kuburikidza zvokurapa zvokushandisa, mbishi maturusi zvinogadzirisa, antiseptics, endoscopes.

Munguva ichangopfuura, nosocomial (nosocomial) Zvirwere (Hai) vari zvikuru kushanda munyika. Zvikuru kubatwa vana vaduku, vakwegura, varwere simba masoja reactivity. Kuderedza mukana wokutapukirwa asike itsva chirwere uye dzokurapwa nzira itsva, richishanda midziyo kuona marudzi chirwere.

Kuti uwane mashoko pamusoro zvirwere chipatara-vawana

The World Health Organization rakanzwika aramu pamusoro uwandu Muzviitiko varwere vakasara muchipatara mune zvokurapa jeri. Nosocomial zvirwere, kusanganisira Pseudomonas aeruginosa, - dambudziko chakakomba yose dzakawanda, kazhinji entailing norufu. Izvi imhaka murombo utsanana kurapwa zvivako, midziyo, kuvapo chirwere chakavigwa muna nevashandi vezveutano. Pseudomonas chirwere ari kuona zviri zvomukati, mu maronda zvakabvaruka uye chinoda kugadziriswa, uyewo unocheka diki, ari kufema turakiti, ari intestinal turakiti. Zvichienderana localization pakati nayo utachiona kuratidza noruzhinji zviratidzo.

zvinowanzoitika zviratidzo

Nayo utachiona kunogona nyama zhinji uye nhengo, uye kwenguva yakareba sei pacharo harina ngaateme, kukonzera zvinhu kukuvadza utano. Pseudomonas aeruginosa kunokonzera zvakakomba matambudziko: sepsis, gangrenous ecthyma, necrosis, yomumuzongoza, uye zvichingodaro. Kana zvinokanganisawo Urinary hurongwa zviratidzo dzinoratidzwa yakapinza kurwadziwa panguva Kuburitswa mu zviri dundira, marwadzo mudumbu, inopisa manyawi. Varwere vakawanda avo vakazvigadzira diagnoses uye kushandisa zvinodhaka zvisingadzoreki.

Zvikuru ngozi yevanhu vasabatwa mabhakitiriya ari intestinal turakiti. Kunoita goiter, enteritis, colitis. Aionekwa kudhaka, irwadziwe kwazvo, havachanyatsogoni chetsoka, kurutsa, kuda kurutsa. Zvinokachidza zvinoberekwa microbe kuparadza midziyo sei chiropa masero uye vakandizvidza hemolysis masero eropa (RBCs). E. coli Pseudomonas azara rinenge hazvigoni kurapwa uye upenyu.

Apo vemunyika utachiona hwakakura uye chii chinokonzera?

Rakapinza muruoko muviri, Pseudomonas aeruginosa anoita panomuka nezvirwere uye anogumbura zvirwere kubudikidza Urinary, zvomudumbu, kufema uye pulmonary nehurongwa. Pachena kuti kukuvadza kunoita pfava nhengo. Nechirwere Pseudomonas aeruginosa munzeve, zvichiita purulent otitis neropa. Chirwere chinogona kuitika rhinitis, chisingaperi sinusitis, adenoiditis, mabayo uye bronchitis.

Asi kubatwa zviri Urinary hurongwa kuva urethritis, cystitis, pyelonephritis. Burns, maronda, chinoda kugadziriswa mavanga utachiona chinokurwadzai kukura pute uye sepsis. Boka nengozi anosanganisira akangorara murwere vakatadza ngatichenjererei zvakakodzera. Somugumisiro mazhinji immobilization vakaumba achichema maronda - suwo nekuda Pseudomonas aeruginosa. Kune zvakawanda pathologies anokonzera Pseudomonas aeruginosa. mushonga wavo zvakaoma uye kunoda kunonyanyisa kuzvidzora pamusoro chikamu chiremba.

Pseudomonas aeruginosa kakawanda kuwanikwa vanhu vane chirwere che "rikwanise nemabayo". Chirwere chinogona kukonzera endocarditis, CNS zvokurwara uye zvetsandanyama nemapfupa hurongwa. Dzimwe nguva dzomunharaunda Utachiona anova dzinouraya bacteremia (hweHIV yose muviri), umo kana fungidziro iri isingafadzi. Zvinofanira akati kuti mashandiro ari kukuvadza zvinokonzerwa bacillus kunoitika mumatanho vaviri invasive uye toxigenic.

Pseudomonas aeruginosa ari mwana: ngozi sei?

Pediatrics World hanya pamusoro kwaita nosocomial zvirwere pazera duku. Vari pasi kunyanya vana vane yakaderera nokuberekwa uremu, kukurumidza uye simba. Pane uchapupu nzufu (11%). The localization pakati nayo utachiona kazhinji Anofukidza intestinal turakiti, ari kufema turakiti uye pfava-nenyere. Muchiitiko chimwe nechimwe kunoda nomumwe kunzwisisa kurapa. Chokwadi mwana rwunotumirwa rwarisa dhipatimendi.

The kunotoda mufananidzo muvana

All nyaya dzevarwere nemabayo, izvo chinokurwadzai munhu giremu negative utachiona pamusoro genus Pseudomonas kakawanda akanyorwa. Symptomatology iziviswe fivha, kunetesa chikosoro pamwe viscous phlegm uye mafashafasha. Pashure rimwe zuva, pus, kupfupika mweya uye okisijeni nzara.

On the X-ray mufananidzo kunoratidza kuchinja mumapapu. Zvinoda nokukurumidza kurapwa. No zvishoma ngozi apo Pseudomonas aeruginosa mune mwana anopinda zvomudumbu turakiti. Kune zvakakomba kurutsa, manyoka pamwe madzihwa uye pus, kurwadziwa mudumbu.

Kwave zvakakomba kutyorwa kuri intestinal microflora, chinyamunhari chinorwadza, kufundumwara uye kutinhira, mwana nokukurumidza anorasikirwa emura mumatanda, kutyisidzira kupera mvura mumuviri. Utachiona kunooneka pacharo Vana vachitambura kubva cystic fibrosis (cystic fibrosis) - nhaka chirwere. Tikafunga zvokurwara iri anodzivirira antibodies haakwikwidzani dzavatorwa vamiririri, uye mishonga inorwisa mabhakitiriya vari kubatsirwa zvishoma, nokuti utachiona ichi mberi semheni, zvishoma nezvishoma kuuraya mupenyu muviri.

chirwere matanho

Pseudomonas utachiona kuona rokuongorora uye vakawanda anamnesis haisi kunorondedzerwa. Bacteriological sowings hako akatorwa kuziva tsotso (pus, madzihwa, weti, ropa), uye aidzidza serological kudzidza. antibody padzakacherechedza exciter anoita chokupedzisira mamakisi anosarudzwa uye akaisa yakavakirwa kurapa zvabuda. Cultural chirwere haisi chakaoma, uye akaita munguva pfupi zvichibvira nguva.

Pseudomonas chirwere: sei kurapa zvokurwara?

Kunyange 20 apfuura, utachiona haana kupa mushonga, nzufu kwakaitika kakawanda kupfuura muzana remakore rechi21. Sayenzi makawana migumisiro yakanakisisa pakurwisa chirwere ichi achinyengera. Masayendisiti akagadzira munhu simba antibacterial nevamiririri ichivharira utachiona. Idzi dzinosanganisira:

- fluoroquinolones;

- carbapenems;

- ureidopenitsilliny;

- monobactams.

Zvinosuruvarisa kwakadai pathogenic utachiona mutates anovandudza nemishonga kunyange ane mishonga nani inorwisa utachiona. To chose kudzvinyirira utachiona uye kudzivisa kuitazve, zvinokurudzirwa kutanga kurapwa vachiri pavaipfuura chirwere. Kurapwa kwenguva refu (kwete asingasviki vhiki mbiri), Pseudomonas aeruginosa. Mishonga vanogadzwa pashure kupfuura zvinodiwa nemiedzo uye kuzosimbisa zviratidzo. chiremba chete anosarudza izvo zvinodhaka akakodzera pane imwe nyaya.

Kazhinji basa danho (rakatumbuka) mishonga nomutsinga, intramuscularly ipapo. In maronda nezvezvimwe zvinetso zvedundira vari hazvo kushandiswa instillation (anobudisa mushonga zvishoma nezvishoma ine mushonga kupinda dundira). Kana chirwere akaita sei mucous membranes uye paganda, seari packs it, lotions, gauze bhandeji, akaita rinsing jekiseni.

Kana zvakakodzera, munhu kuvhiya excision pamusoro necrotic zvinyama, kufanana akaratidza pamwe bedsores. An chinokosha mishonga ndiko kusimbisa muviri dzokuzvidzivirira. Best nokure filtrate fagolizata bacteria Pharmaceuticals vakati bacteriophage Pseudomonas aeruginosa. Izvi ano antibacterial mhinduro rinomira imi masero pathogenic. Akakodzera kunorapwa nzvimbo dzose. Richishandiswa rectally, nomuromo uye topically. Kunowedzera immunoglobulin usage, anobatsira kwazvo zviratidzo uye anobatsira kupora. Pashure zvakazara yawapiwa uye kubviswa pakati kunotoda mufananidzo anenge gumi mazuva, zvinokosha kuzodzosera kuongorora kuziva causative pomutumwa. Kana pakudyara uye zvakare kuratidza yakanaka maitiro, akagadza mumwe mushonga mutsva.

Zvimwe kwomuchipatara

Mabatirwo Pseudomonas aeruginosa chirwere zvinobatsira chokubatanidza pamwe Rokudzorera, probiotic uye Homeopathic mishonga, asi chete pasi wakaoma kutarisira chiremba. Kunyanya chipimo chemushonga pamusoro vhitamini uye chicherwa yakaoma, zvainanga kusimbisa zvirwere. Panguva kurapwa zvakakodzera kuchengeta zvokudya zvinovaka muviri kuburikidza dzakakudzingai zvinokuvadza makabhohaidhiretsi, mafuta. The Muterere inofanira kuva chiedza, akapfuma mapuroteni, muriwo itsva uye michero.

Alternative nzira ndichiva kubvisa maperembudzi

Pasina zano uye vanorumbidza nyanzvi ngozi kwazvo taurira mimwe miti. Hazvizivikanwi kuti kuita mhando vanovakonzera panyaya yako. Tinoratidza zvakasimba arege kuzviisa pangozi utano hwavo. Vamwe vanoita uye homeopaths varayire mishonga zvinoriumba vari kunzwisisa. Kana kuzadzisa zvose zvinodiwa uye kutevera zano dzehutano, unogona kutaura bhayibhayi ane chirwere che "Pseudomonas aeruginosa".

Folk mishonga akadai horsetail, Aspen mashizha, mafuta tii muti, chamomil, inobatsira kubvisa kuzvimba uye kuderedza chirwere. Itariro pacharo Chepiri - namo, tine antibacterial, akambozvishandisa kuuraya utachiona ehupfumi. It vagara mairi akaita decoctions, neiya inoiswa muzvinwiwa zvinodhaka, nezvizoro kuti kukamura uchishandisa kushandiswa. We tsanangura wandei dzakakurumbira Recipes.

• In yakaenzana zvikuru yokubika Mashizha horsetail (kana plantain) uye Aspen Kubika mvura. Kunwa 30 d daily (spoon maviri) pamberi zvokudya, chete rakasanganiswa chimiro (pamwe tii kana mvura). Unogona pavaisukira huro, kugeza kunze ari sinuses. Domestic mushonga une inorwisa utachiona, Anti-anogumbura uye detoxification maturo.
• Folk varapi vanokurudzira kushandisa zviwanikwa nemishonga kurapa zvirwere zvakasiyana-siyana. Izvi zvinosanganisira tii muti mafuta, chakatengeswa mu chemishonga Network. Zvakakodzera batanidza kuderera emura ine dhizeti nendiro mafuta omuorivhi. Inwai kamwe pazuva nemvura.
• On a spoon pamusoro Viburnum michero kutora mikombe miviri kufashaira mvura. Richadzipa kweinenge awa kusvikira mhinduro achava nomuti ruvara. Wakaparadza 100 ml mana nguva zuva nezuva. A yakafanana muto yaigadzirwa akasimuka muchiuno. Richadzipa ari thermos uye kunwa tii.
• Tiri kuita somushonga aizomupa shanu Anti-infective akaomeswa kana manyoro seruva Calendula uye 250 ml kufashaira mvura. Musanganiswa akanga akandipa pamusoro awa rimwe. The dzaserera Kugadzirisa kuwedzera guru aidya chipunu doro namo tincture. Tora katatu pazuva 50 magiramu. The mubatanidzwa kurapwa chirimwa zvinoriumba ude zvirwere zvoutachiona pezvakaitwa ane zvaparadza pathogenic tupukanana DZEMUNHU DZINODZORA kukura kwavo uye kubudirira. Uyezve, imwe decoction pamusoro rufimbi uye rinoratidza fungicidal chiito.

Yeuka kuti kurapa kungaitwa pane kwakajairika vari mukwanisi zvinodhaka mushonga, uye haagoni kudzivirira utachiona pachavo. Ivo chete kuvavarira kusimbaradza masoja emuviri uye kuderedza kuzvimba. Zvakakodzera pachena kunzwisisa uye kuziva contraindications miriwo avo uye zvirimwa vari.

On dziviriro

Pseudomonas aeruginosa (chirwere) kwakazara kwazvo zvakatipoteredza uye anogona nyuchi dziri munyika yevanhu zvomukati, ichikonzera kumukuvadza. Ngozi, unofanira kutevera dzisina mitemo, chengetai chepuraimari utsanana. Simply kunhonga kwemabhakitiriya muchipatara ezvinhu pane kubva mumwe. Kana uchifungidzira kuti kunobva chirwere kunofanira kudyara zvose dzemhuri vanogara chete mufurati.

Primary uye chikuru kudzivirira kuti kudzora utano, uye zvakawanda zvakananga dziviriro yezvirwere mumuviri. Kupa muviri wako ane mbishi zvokudya nepakati, nguva dzose geza maoko ako kwazvo pamwe soapy mvura pashure bindu, vachifamba. Shandisa micheka nyoro mumugwagwa, kana uchida tudyo.

Kurwisa causative nomumiririri dzehutano vanofanira kuongorora kuchena maoko, kwakavakirwa uye midziyo. Pasi mbereko waida endotracheal sepombi, catheters kubatwa chaiwo mhinduro. Kubvisa chirwere pisa tubs uye kushambira madziva kuti kuramba kuongorora mwero rehydrogen indekisi mvura (7.2-7.8) uye wevasungwa kuti chloride yeimwe (70.5 MG / l).

All akawana manyuko kwemabhakitiriya kusvibiswa muzvipatara vanofanira pakarepo kuparadzwa. Varwere kufungira zviratidzo ichakurumidza vanofanira dzinoongororwa uye mukavaisa zvirwere kiriniki kuitira kudzivisa kupararira chirwere. Saka anogona kurerutsa nyaya neutachiona uye kugadziridza kurapwa nemazvo.

Migumisiro?

Fungidziro kunoenderana pamberi concomitant pathologic kwendangariro. Zvipatara zvabuda zvichava zvakanaka kushandisa dzinoverengeka tupukanana yakafara chiito. Pseudomonas chirwere chiri nezvakwakaipira kukanganisa zvakawanda anokosha, kunyanya mune chitunha mwana. Mune zvimwe zviitiko, pashure kurapwa kwenguva refu uye kubviswa chikuru kuratidzwa imwe nguva, zvingaratidza recur kana achiipa zvakare pakanyorwa aripo pathologies.

Kunyumwa zviratidzo Kushatiswa mukuru wehurumende utano haisi usimbe kuti kuedzwa kanenge rasai nokukanganisika kuongorora ropa uye weti. Kana zvabuda iwe vasingandivimbi, bvunza vanachiremba vanoverengeka chinovhiringidza dambudziko. Ipai kwenyu utano kunonyanyisa hanya, nguva dzose kuteerera zviratidzo kutumwa muviri.

chirwere nomumwe ane unhu izvo kunyanya kuitika panguva rikwanise pachikuva, uye ipapo kuserera. Zvinozivikanwa kuti Isimba rakadini rinogona kubudiswa chimiro kunoratidza kuti zvokurwara vakapfuura vari chirwere chimiro. Muchiitiko chino, kurapa achava zvakaoma, tora nguva yakawanda nesimba. Usamborega kurwisa zvirwere, Fambidzana pfungwa, kubvisa mwoyo uye kuora mwoyo. Nzira utano hwakanaka kuburikidza dziviriro. Rambai ichi mupfungwa uye regai kurwara!