, zviratidzo uye kurapwa kwacho kwakadii

Zvemukati

• Kuti hutachiona hunoitika sei
• Zviratidzo zvehutachiona ne Acinetobacter sp.
• Kuongororwa kwehutachiona ne Acinetobacter sp.
• Maitiro ekudzivirira uye ekurapa
• Kurapa kwepage

Acinetobacter rinoenderana nehutachiona hwehutachiona hunowanzo sanganisirwa nezvirwere zvine chekuita noutano nharaunda, iyo HAI, iri mumiriri mukuru werudzi urwu Acinetobacter baumannii, iyo pamusoro pekuva nehukama nehutachiona munzvimbo yechipatara zvakare inoratidza kuramba kwemaantibayoti mazhinji anoshandiswa, zvichiita kuti kurapwa kuome.

Iyi bhakitiriya inoonekwa seyakanaka, nekuti inokonzeresa zvirwere muvanhu vane zvinhu zvinofarira kuitika kwayo, sekuderera kwekuita kwema immune system uye kureba kwenguva refu kwekugara muIntensive Care Unit (ICU). O Acinetobacter sp. inogona kuwanikwa kazhinji paganda, zvisinei mune vanhu vari muchipatara inowanzo kuzivikanwa pahuro uye nzira dzekufema.

Kuti hutachiona hunoitika sei

Kubatwa ne Acinetobacter sp. zvinowanzoitika munzvimbo yechipatara kuburikidza nekubata nenzvimbo dzakasvibiswa kana kuburikidza nekubatana nemumwe munhu ane hutachiona, maoko achionekwa senzira huru yekutapurira uye hutachiona.

Rudzi urwu rwehutachiona ruri nyore kuitika kune vanhu vari muchipatara kwenguva refu muchipatara muIntensive Care Unit (ICU), vane maronda eganda, vane immune system isina simba, vanofema nerubatsiro rwezvigadzirwa, kana vane catheter , Semuyenzaniso.

Izvi zvinodaro nekuti mabhakitiriya anokwanisa kuita biofilm fomu muzvigadzirwa zvekurapa, zvinoenderana nekushomeka kwekuti mabhakitiriya anonamatira pamusoro pechigadzirwa uye kuwanda zvakanyanya, zvichiita kuti kurapwa kuve kwakaoma uye kunotungamira kumatambudziko.

Nekudaro, munzvimbo yechipatara, hutachiona kuburikidza Acinetobacter sp. zvinogona zvakare kuve zvine hukama nemidziyo yekurapa inoshandiswa zuva nezuva.

Zviratidzo zvehutachiona ne Acinetobacter sp.

Zviratidzo zvehutachiona zvinogona kusiyana zvichienderana nekuti mabhakitiriya anowanikwa kupi uye anokura. Saka, kana iri muchikamu chekufema, iyo Acinetobacter sp. zvinogona kutungamira pakuonekwa kwezviratidzo nezviratidzo zvemabayo, sekutambudzika kufema, fivhiri uye kurwadziwa pachipfuva.

Kana iri muhurongwa, inogona kukonzeresa kuoneka kwezviratidzo zvehutachiona hwehutachiona, sekurwadziwa uye kupisa paunenge uchiita weti, kazhinji kukurudzira kuenda kuchimbuzi uye kune weti ine makore.

Mune vanhu vane immune system yakadzikama zvakanyanya kana vari muchipatara kwenguva yakareba, zvakajairika kuti mabhakitiriya asvike muropa zviri nyore uye zvinotungamira pakuonekwa kwezviratidzo zvinoratidza bacteremia, inoenderana nekuvapo kwebhakitiriya ropa, panogona kuve nefivha yakakura uye inoramba iripo, yakaderera BP, kuda kurutsa uye dzungu. Heano maitiro ekuziva zviratidzo zvehutachiona hweropa.

Kuongororwa kwehutachiona ne Acinetobacter sp.

Kuongororwa kwehutachiona ne Acinetobacter sp. inoitwa munzvimbo yemuchipatara, nekuti vanhu vazhinji vane hutachiona uhu vari muchipatara, kuburikidza nekuunganidzwa kweropa sampuro, secretion yetracheal uye / kana weti, iyo inotumirwa kuirabhoritari yehutachiona kuti iongororwe.

Iwo masampuli anogadziriswa uye anoongororwa zvinoenderana nezvakawanda uye zvidiki zvidiki zvemabhakitiriya makoloni akawanikwa mushure mekudzikisira pa37ºC, inova tembiricha yakanaka yekukura kwebhakitiriya. Zvino, mabhakitiriya anozivikanwa uye antibiotiki inoitwa, mune iyo nhoroondo yehutachiona hwekunzwa uye kupokana nemishonga inorwisa mabhakitiriya inosimbiswa, ruzivo urwu rwuchikosha kuitira kuti chiremba agone kuratidza mushonga wakakodzera kwazvo kumunhu uye agone kubvisa mabhakitiriya. Nzwisisa kuti mushonga unogadzirwa sei.

Maitiro ekudzivirira uye ekurapa

Zvakaita se Acinetobacter sp. haina mishonga yakawanda, ndiko kuti, ine nzira dzinoverengeka dzekurwisa mabhakitiriya anowanzo shandiswa, uye vanokwanisa kugadzira biofilm, kunova kugona kwebhakitiriya kuomerera kumidziyo yekurapa uye kuwanda, kurapwa kwakaoma.

Naizvozvo, munhu akaonekwa aine hutachiona ne Acinetobacter sp. multiresistant inofanirwa kuramba iri muchipatara iri yoga uye iine matanho ekudzivirira, panguva imwecheteyo kurapwa nemishonga inorwisa mabhakitiriya kunoitwa kuti bhakitiriya richiri nyore, sezvo izvi zvichitadzisa hutachiona kubva pakupararira uye vamwe vanhu kuti vasasvibiswe.

Kuti udzivise hutachiona, chiito chikuru chinofanira kutorwa kushambadza chaiko kwemaoko, nekuti maoko anoenderana nenzira huru yekufambisa hutachiona munzvimbo yechipatara. Uye zvakare, zvakakosha kuti usashandise mishonga inorwisa mabhakitiriya pasina kurudziro yachiremba, nekuti inogona kukurudzira kukura kwemishonga inorwisa mabhakitiriya, uye, kana uri muchipatara, dzivisa kuva padyo nevarwere vari vega kana, kana zvichidikanwa kubata, geza maoko usati wasangana nemunhu uye mushure mekubatana naye uye pfeka zvekuchengetedza. Dzidza zvakawanda nezve maitiro ekudzivirira hutachiona hwechipatara.

Kurapa kwepage

Kurapa kwepage, kunonziwo kurapa kwepage, imhando yekurapa umo mabacteriophages anoshandiswa kurwisa hutachiona hwakaoma kurapa kunyanya nekuda kwekushomeka kwemishonga yakawanda yemishonga inorwisa mabhakitiriya. Bacteriophages, kana kungoita mapaji, hutachiona hunokwanisa kuparadza mabhakitiriya uye, nekudaro, kushandiswa kwavo mukurapa kwehutachiona husinga pindirani kunogona kushanda.

Bacteriophage yega yega inobata kurwisa imwe kana boka rebhakitiriya uye, nekudaro, pakurapa kwezvirwere, imwe hombodo ye bacteriophages inogona kugadzirwa kurwisa hutachiona hwakapihwa. Munguva pfupi yapfuura, phage kurapa kwave kuchishanda pakurapa Acinetobacter baumannii inopesana nemishonga yakawanda, umo bacteriophages aikwanisa kubvisa hutachiona uye nekudaro kurwisa hutachiona nekuvandudza hupenyu hwemunhu.

Kunyangwe iri nzira yechinyakare, kurapwa nema bacteriophages kwakawana mukurumbira mumakore achangopfuura nekuda kwehuwandu hwakawanda hweanopokana nemajusi. Dzidza zvakawanda nezve bacteriophages.