Klebsiella pneumoniae - ntoni na? Igciwane Klebsiella pneumoniae: Inkcazelo

Klebsiella pneumoniae - ntoni na? It is a igciwane inokubangela isifo esimandundu yokukrala yokuphefumla, yokucola ukutya nokulwa womchamo. Kwiimeko ezinjalo zifuna unyango ngononophelo kwaye unyango ngenyameko. Kwaye oko kwabangela izifo nosocomial na unyango ukumelana ngenxa yenani elikhulu kweentlobo ye gciwane.

ngokobugcisa

Le ndoda eqhelekileyo Kunzima ukucinga ukuba kukhangeleka ngathi Klebsiella pneumoniae, yintoni na. Morphologically ke ngentonga zokubhala apho kungenziwa akhiwe zombini zibangele kunye namaqela. Esi Igram-elibi igciwane kukuthi, xa zidyojwe hematoxylin-eosin, kuba ezipinki (ibonisa ubukho njengezingxobo).

Yena ukhetha ukuzalela iindawo ukufikelela elilinganiselweyo ioksijini, kodwa phambi kwakhe, angalahlekelwa iipropati amasiko alo. Elabhoratri, igciwane Klebsiella pneumoniae uyakhula phezu kwaye ulwelo zosasazo nezondlo, wakha amathanga amahle zizimvi emhlophe. Kufunyenwe igama layo yi igama discoverer - le sezifo Edwin Klebs.

types of Klebsiella

Microbiologists ukususela kwixesha ukuvulwa silwanyana ezichongiweyo Iintlobo ezintandathu Klebsiella:

- Klebsiella pneumoniae (Friedlander eletha).
- Klebsiella oxytoca.
- Klebsiella rhinoscleromatis (eletha of Frisch - Volkovich).
- Klebsiella ozaenae (Wand uAbheli - Lavenberga).
- Klebsiella terrigena.
- Klebsiella planticola.

Xa abantu, oyena nobangela uqhelekileyo esi sifo ezimbini zokuqala, kodwa ukuncipha sifo, kunye nezinye iintlobo zibe izifo. Xa abantu baphile ethunjini nayo Klebsiella pneumoniae, izinga mayingagqithi iintsholongwane 105 1 gram ye chyme nganye. Ukongeza, ezi Cya zisoloko khona eluswini kunye inwebu kwiinwebu komthi inyumoniya. Ukuba uyakwazi ukugcina iipropati zabo iimveliso zokutya emanzini nomhlaba kangangexesha elide, kangangokuba usulelo yenzekile.

imithombo zosulelo

Phakathi kwabanye ezininzi izifo anthroponotic ekunokuthiwa, kunye Klebsiella pneumoniae. Yintoni na? Oku kuthetha ukuba nokuba ingaba umthombo ukugula abantu abagulayo okanye abathwali kwamagciwane azinazo iimpawu. Ngaphakathi eziphilayo Klebsiella ufumana dirty nokutya okanye ngezandla ezimdaka. Ukuba HIV inkqubo bronchopulmonary ubethwe, ukunwenwa iintsholongwane baya amathontsi kukhethwa emoyeni (ngokuthi ukukhohlela nokuthimla). Bonke abantu basengozini Klebsiella, kodwa abantwana abancinane, abantu abadala kunye nabantu immunodeficiency kwiqela eliphezulu-umngcipheko, ekubeni kwenziwe uyawabophelela microflora wamathumbu endogenously kulawulwa ngenkankulu.

Xa emzimbeni, igciwane uvelisa endotoxin ephuma kuphela emva kokufa yenethiwekhi gciwane. It ibangela icesina kunye ukunxila. Kukho exotoxin ezimbini: enterotoxin kunye membranotoksin. Imvelaphi ichaphazela isifo emathunjini amancinci, kunye nesiphumo etshabalalisayo yesibini erythrocytes, ibangela anemia.

pneumonia

Pneumonia ubangelwa, wena elithekelelwayo oko, ka Klebsiella pneumoniae. Eyona uphawu olu hlobo ukudumba na ukuvela nobuninzi nakujoliso olutsha encinci nangokurhala, leyo idibane nenye phesheya kumphezulu ukukhanya. Xa izigulane ngumkhuhlane (iqondo mathathu anesithoba), ubuthathaka, silale, ukubila. Ekuqaleni esi sifo ukhohlokhohlo owomileyo, kodwa phakathi manzi, kunye admixture yencindi yomlomo kunye ubofu inakho enemizila ngegazi. Luphawulwa ukuphelelwa umoya kunye, kwiimeko ezinzima - ukusilela yokuphefumla kunye nokudumba nezengekho miphungeni.

On ukuxilongwa ngokwasemzimbeni, kwicala ukudumba crackles oluvakalayo kunye Ngokucofa - kokunciphisa zokubetha izandi. On radiograph esifubeni kwelivi osecaleni focal umthunzi ebonakalayo, kuyaphela uhlanganise.

Ukuba isifo eso kwangethuba kwaye unikeze unyango oluchanekileyo, kusenokwenzeka kakhulu ukuba inkqubo yokukrala nga luphazamisekile kanye ekuqaleni, ngaphambi kokuba ixesha kulo lonke kumphezulu emiphungeni. Kodwa kwimeko unyango ezingachanekanga okanye unyango emva kwexesha esibhedlele, mhlawumbi, isigulana eso siya kuba umfanekiso nokudumba (ukudumba nolahlo ngokubanzi), yaye kwimeko enjalo sabulala iphezulu kakhulu.

Ekubulaleni nkqubo wokugaya

Esi sifo kwakhona zibangelwa Klebsiella pneumoniae. Ngelishwa, oko "ezigqunyiweyo" izifo gastroenterological, iyenza nzima ukuxilonga nokunyanga. Isigulane liye gastroenterologist izikhalazo iintlungu esiswini kwaye luwise inkaba, heartburn, isicaphucaphu, sinciphise ukutya, kodwa EGD (fibrogastroduodenoscopy) ibonisa isifo eqhelekileyo okanye asha kancinane esiswini. Alinako angamchukumisi up ugqirha kwingcamango Klebsiella. Kunoko, uya kubeka gastritis kwaye ukumisela unyango olufanelekileyo.

Kodwa uninzi zonke Klebsiella esizibonakalisa lokugaya (iphecana zesisu) njengoko enteritis okanye enterocolitis. Isigulane iya ekhala esibhedlele ezosulelayo fever, ubuthathaka, isicaphucaphu, cramping esiswini kunye isitulo ukungathobeli (sorhudo lweenkcukacha negazi yencindi odorous). Le meko ungatsala iintsuku ezimbini ukuya ezintlanu.

Izifo yenkqubo genitourinary

Kaninzi Klebsiella pneumoniae kwinkqubo enzala esizibonakalisa ngohlobo pyelonephritis, Ngokuzimela kunye prostatitis. Kuxhomekeka kwinqanaba yokwenzakala, izigulane ezikhala intlungu kummandla empontshwa, ubunzima ukuchama kunye nomsebenzi erectile.

Ukuba amajoni omzimba asebenza kakuhle, esi sifo sibi, kwaye unyango olufanelekileyo umntu kwakhona ngokupheleleyo. Kodwa kwimeko mncane zokuzikhusela zomzimba (abadala okanye abantwana, immunodeficiency), esi sifo kuthatha ikhondo ezinganyangekiyo okanye yomhla nezolo.

ukungaphili

Ngexesha klebsiellezov kakhulu na ngaphandle iingxaki ezinjalo:

- nokudumba pulmonary;
- ITSH (mothuko ityhefu);
- sophele syndrome;
- ekweneni ebuchotsheni.

Le meko ubomi emngciphekweni, iyileyo ingagcina afe. Kwaye ukuba zidibene, amathuba ukufa kwandisa. Emva kokuba usulelo yangaphambili isigulane baseka sifo ethile zezomzuzwana, oko kukuthi, xa parlance eqhelekileyo, emva kwexesha elithile, loo mntu unako kwakhona bayagula.

Iimpawu zesi sifo abantwana kunye noomama abakhulelweyo

Klebsiella pneumoniae ngexesha lokukhulelwa - simanga hayi inqabile kakhulu. Umzimba luhlangabezana umthwalo kabini, kunciphise sifo, nokwandisa amathuba ukunyuka microflora nesibopho. Ekubeni isikhundla singayekwa, ukuba okanye hayi ukuthatha nemithi, ugqirha isigqibo. Konke kuxhomekeke ubude yokumitha, izixa Klebsiella pneumoniae kwi-smear evela iphecana angasese kunye neqondo iiseli ezimhlophe zegazi. Iidosi kwakhona ayilungiswanga ngamnye. Xa kungekho tyala kufuneka aphathwe ekhaya.

Le meko idla xa umbuzo ukhulelwe akukho nogqirha, kunye nabahlobo bakhe igciwane Klebsiella pneumoniae. Yintoni na, yaye yena akakwazi bana phandle. Kwaye ngoko iimpazamo amayeza kukho ukungavisisani, ngaphezu koko, ukuba uyakwazi ukwenzakalisa usana.

Ngenxa yokuba abantwana okukwazi buthathaka kwaye abantwana abancinane nabo badla ubunzima ukusuka microflora ichele. Klebsiella pneumoniae kwiintsana ebangela ukunxila kakhulu, lo gabalala na ukudumba kunye nokudumba. Amaninzi ke dysbiosis iimpawu eziphambili (belching, ukulahlwa nencum, ukwehla kobunzima kunye kophulwa kwesitulo).

ekuxilongweni

Ngokwezonyango ukufumanisa ukuba yintoni eyabangela ukuba le ntsholongwane Klebsiella pneumoniae, kunzima kakhulu, njengoko kungekho iimpawu ezithile olwalatha kulo. Ngoko ke, uphethwe syndromic uze uqinisekise bacteriologically. Njengoko izinto igazi efanelekileyo, umchamo, isikhohlela, ulwelo lwe-cerebrospinal, duct izinto yecandelo.

Klebsiella pneumoniae Umchamo ibanjiwe yinkcubeko okanye uviwo ngemikroskopu. Kule zokufunda camngcwe kwi eliphakathi lwezondlo okanye ithe kwisilayidi zeglasi kunye ancinwe ngemicroscope.

ingafunyanwa Iindlela efanayo endleni ka Klebsiella pneumoniae, kodwa ezinye izinto thile ezahlukeneyo. Kuba izixhobo zophando qualitative ukuba kusiwa kwilabhoratri kwisithuba kangangesiqingatha seyure emva kocingo.

Emva kweeveki ezimbini ukusuka ekuqaleni kwesi sifo, unako ukuthumela igazi zululwazi. Livumela ukuba ukuqikelela ubungqongqo kwenkqubo kunye amajoni omzimba.

unyango

Amaqhinga zonyango ugqirha ikhetha ukuba kwimeko ethile nganye. Oku kuxhomekeke kwindlela esi sifo, abawayo kunye neempawu ze isigulane yayo. Kaninzi, izigulane zifumana unyango kwesibhedlele.

Wabamisela kuqala bacteriophages ezithile. Kufuneka kuthathwe kathathu ngemini phambi izidlo. Kwakhona kuyenzeka Ulawulo sazo yomlomo isiyobisi emzimbeni ngokusebenzisa enema. Ikhosi ye unyango ekungabonini ukusuka kwiintsuku ezintlanu ukuya kwelishumi. Inqanaba elilandelayo probiotics kufuneka ukubuyisela izihluma eziqhelekileyo emathunjini. Kufuneka sisele ubuncinane iintsuku ezilishumi, yaye ngokukhethekayo iiveki ezimbini okanye ezintathu.

Of elwa cephalosporins ezikhethiweyo kwaye fluoroquinolones zezona kwesesithathu nakwesesine isizukulwana, aminoglycosides kunye tetracyclines.

Esibhedlele, izigulane esibhedlele ngenxa iziboniso zilandelayo: ukuqhubela phambili iimpawu, umkhuhlane omkhulu, septicemia. Ukuba ukuba unyango kwangumqondiso kwaye pathogenetic ezijolise ekujonganeni iimpawu zesi sifo yaye nokuququzelela imeko yesigulane.

prophylaxis Nonspecific kuba klebsiellezov akwenziwanga, njengoko kungekho lokugonya. Ngoko ke, bonke sihla kwimfundo impilo yabantwana kunye nabantu abadala, kunye lukhuni unyango ngexesha elililo yaye olusebenzayo lwezifo ezosulelayo.