Bhakitiriya kuramba: chii icho, nei zvichiitika uye maitiro ekuzvidzivirira

Zvemukati

• Kurwisa mabhakitiriya kunoitika sei
• Huru hutachiona husinga peri
• Maitiro ekudzivirira maantibiotic kuramba

Hutachiona hwehutachiona hunokanganisa kugona kwebhakitiriya kurwisa zviitwa zvemamwe maantibhakitiriya nekuda kwekuvandudzwa kwenzira uye nzira dzekudzivirira, izvo zvinowanzo kuve mugumisiro wekushandisa zvisirizvo kwemishonga inorwisa mabhakitiriya. Nekudaro, semhedzisiro yekushomeka kwebhakitiriya, mishonga inorwisa mabhakitiriya inowanzo shandiswa pakurapa haichashandi, zvichiita kuti kurwisa hutachiona kuome uye kutore nguva, uye panogona kuve nekuwedzera kwehutano hwemunhu kiriniki.

Kana mushonga unorwisa mabhakitiriya ukashanda, hutachiona hunokwanisa kuita kuti huwandu hwayo hwekuwedzera hudzike kana kubviswa mumuviri. Nekudaro, kana bhakitiriya ikawana kusagadzikana nemushonga unorwisa mabhakitiriya, inozokwanisa kuwanda zvisineyi nekuvapo kwemushonga uye inokwanisa kukonzera utachiona hwakakomba hwakaoma kurapa.

Muzviitiko zvakawanda, hutachiona hunoshingirira kune imwe chete inorwisa utachiona, sezvazviri mune Enterococcus sp., semuenzaniso, uko mamwe maronda ari asingagone kuVancomycin. Nekudaro, zvinokwanisika kuve nehutachiona husinga gadzikane nemaantibayoti akawanda, ichinzi superbug kana multresistant bacteria, sezvazviri Klebsiella mugadziri we carbapenemase, inonziwo KPC.

Kurwisa mabhakitiriya kunoitika sei

Kupokana nemishonga inorwisa mabhakitiriya kunoitika zvakanyanya nekuda kwekushandisa zvisirizvo kwemishonga inorwisa mabhakitiriya, kureva kuti, kana munhu achinge ashandisa iyo inorwisa mabhakitiriya pasina zano rekurapa kana kana paasina kurapa kwakazara, semuenzaniso. Aya mamiriro anogona kufarira kuvandudzwa kwemaitiro ekugadzirisa uye kushomeka kwebhakitiriya kurwisa mushonga unorwisa mabhakitiriya wakashandiswa, kuitira kuti ugone kugara mumuviri kwenguva yakareba, kuwedzera uye kusvika muropa, kuratidza sepsis.

Mabhakitiriya anodzvinyirira anokwanisa kuwanda zviri nyore uye nekudaro anopfuudza avo ekuzvidzivirira majini kune mamwe mazera. Pamusoro pezvo, zvinokwanisika kuti shanduko nyowani dzinoitika mumavara ehutachiona aya, zvichipa hutachiona hukuru, idzo idzo dzinopesana nemhando inopfuura imwe yemishonga inorwisa mabhakitiriya. Izvo zvakanyanya kusagadzikana mabhakitiriya, zvakanyanya kuoma kurapa, sezvo paine mashoma maantibayoti aripo anogona kurapa hutachiona.

Huru hutachiona husinga peri

Mabhakitiriya anodzvinyirira anowanikwa zviri nyore munzvimbo yechipatara nekuda kwenzira dzinotumirwa varwere, dzinova dzinokanganisa, pakadai kushandiswa kwemishonga yemishonga inorwisa mabhakitiriya kwakakosha, zvinova izvo zvinopesana nemajusi akasiyana siyana, kusanganisira asiri- pathogenic, iyo inogona kufarira kuramba.

Pamusoro pezvo, mabhakitiriya asingagone anowanzoenderana nemamiriro ekuchipatara nekuda kwekushandisa kwakawanda kwemishonga inorwisa mabhakitiriya panguva yekuchipatara, immune system yevanhu uye kusvibiswa kwenguva yakareba kune vanotapukira uye maantimicrobial nekuda kwekugara kwenguva refu muchipatara.

Pakati peakakosha mabhakitiriya ari Klebsiella pneumoniae (KPC), Staphylococcus aureus (MRSA), iyo inopesana neMethicillin, Acinetobacter baumannii uye Pseudomonas aeruginosa, iyo inopesana ne carbapenem antibiotics. Ziva mabhakitiriya akakurisa akawanda.

Maitiro ekudzivirira maantibiotic kuramba

Mishonga inorwisa mabhakitiriya inogona kudzivirirwa zviri nyore kuburikidza nezviito zviri nyore, senge:

• Kushandiswa kwemishonga inorwisa mabhakitiriya chete pasi pekurudziro yekurapa;
• Nguva uye chiyero chemushonga unorwisa mabhakitiriya chinofanira kuratidzwa nachiremba uye chishandiswa maererano nekutungamira kwake, kunyangwe nekushaikwa kwezviratidzo;
• Usakanganisa kurapwa kwemishonga inorwisa mabhakitiriya kunyangwe paine pasisina zviratidzo zvehutachiona.

Pamusoro pezvo, zvakakosha kuchengetedza hutsanana hwemaoko, kugeza chikafu musati wagadzirira, kuva nemishonga yekudzivirira zvirwere kusvika panguva ino uye kungoonana nevanhu vari muchipatara vachishandisa zvinhu zvinodzivirira, senge masiki nenguo, semuenzaniso.

Kuti udzivise kusagadzikana kwebhakitiriya, zvakakoshawo kuti zvipatara zviongorore mabhakitiriya akajairika muchipatara uye akakosha ekurapa zviyero uye nekuona kunzwisisika uye kuramba kwehutachiona hweaya madiki.

Kamwe kana zvazivikanwa kuti ndeapi mabhakitiriya anowanzoitika uye hunhu hwavo, zvinokwanisika kutora nzira dzekudzivirira hutachiona panguva yekurwara kwemurwere. Kuenderera mberi nedzidzo uye kudzidziswa kwevashandi vehutano varipo muchipatara kwakakosha kudzivirira hutachiona hweanosomomia uye kuvandudzwa kwemishonga inodzivirira. Ona maitiro ekudzivirira nosocomial hutachiona.