Ophunzira zachipatala amagwirizana ndi Klebsiella pneumoniae ndi chibayo chokhudza anthu opanda pokhala amadalira mowa. Komabe, mabakiteriya Klebsiella chibayo amapezeka m'zipatala komanso chifukwa chachikulu cha matenda a nosocomial. ("Nosocomial" ndi nkhani yachipatala ndipo amatanthauza matenda ochokera kuchipatala.)
Klebsiella pneumoniae ndi ndodo ya gram-hasi yomwe imakhala mu capsile yakuda kwambiri ya polysaccharide.
Pachifukwa chofanana, kapupa wandiweyani amachititsa kuti mabakiteriya akhale ovuta kuchiza ndi maantibayotiki.
Pa asanu pa anthu 100 alionse, Klebsiella pneumoniae amakhala m'matumbo (zinyama) ndi kapu. Mosiyana ndi E. coli , mabakiteriya ena amtundu (enteric), Klebsiella amapezekanso m'malo osungirako zachilengedwe monga sewers, nthaka ndi madzi. Zimadetsa thupi pogwiritsira ntchito mapetoxin omwe ali mkati mwa mabakiteriya osati ndi exotoxin (exreted).
Monga momwe mungathe kutchulidwira, dzina lake Klebsiella pneumoniae lingayambitse chibayo cha bakiteriya. Chibayo ndi matenda a m'mapapu omwe amachititsa chiwindi, kuzizira, kupuma pang'ono, kutopa ndi zina zambiri. Kawirikawiri, Klebsiella chibayo ndi chachilendo kupatula pakati pa anthu ammudzi omwe amadalira kumwa mowa.
Klebsiella chibayo nthawi zambiri chimagwera kumapapo okwera m'mapapo otchedwa lobe ndipo amachititsa kuti afa (ac neutros) ayambe kufa (aka necrosis); izi zimagwiritsidwa ntchito pa chifuwa x-ray.
Muzipatala zam'chipatala, Klebsiella pneumoniae ikhoza kukwera kuchokera m'matumbo ndikuyambitsa matenda a mkodzo kapena kupatsirana pogwiritsa ntchito catheter ya mkodzo. Komanso, makamaka pakati pa ana omwe ali m'chipatala mu ICU (PICU), Klebsiella pneumoniae ingayambitse matenda opatsirana mwazi (aka septicemia) ndi mantha.
Zindikirani kuti pali magulu a Klebsiella pneumoniae omwe amachititsa matenda oopsa kwambiri: Klebsiella ozaenae ndi Klebsiella rhinoscleromatis. Kugonjetsedwa ndi Klebsiella ozaenae kungayambitse kupwetekedwa kwa mankhwala osokoneza bongo. Mofananamo, Klebsiella rhinoscleromatis imayambitsa rhinoscleroma, kutupa kwapweteketsa kokometsa kwa mphuno ndi mmero.
Kuzindikira kwa Klebsiella pneumoniae kumachokera ku mbiri yachipatala, kuyezetsa thupi, kuyezetsa matenda (kuganiza x-ray) ndi kuyesa ma laboratory. Ngati n'kotheka, madokotala amakonda kusamalira Klebsiella pneumoniae ndi quinolones kapena cephalosporins yachitatu kapena yachinayi. Komabe, mitundu ina ya Klebsiella pneumoniae imagonjetsedwa ndi ma antibayotiki ochiritsira, ndipo ma antibayotiki amafunika kuyang'anitsitsa pamene ayesa ndi kuchiza matendawa.
Kuchokera m'ma 1970, zovuta za Klebsiella pneumoniae zosagwirizana ndi aminoglycosides zinayamba kugwira. Posakhalitsa tizilombo toyambitsa matendawa tinatsatiridwa ndi beta-lactamase yomwe imapanga Klebsiella omwe sanagwirizane ndi penicillins ndi cephalosporins.
Posachedwapa, matenda a Klebsiella osagwidwa ndi carbapenem afika kuchipatala. Carbapenems ndi mankhwala amphamvu kwambiri omwe amagwiritsidwa ntchito ngati mankhwala otsiriza.
Mfundo yakuti Klebsiella wasintha kwambiri kuti asamangodandaula ndi mankhwalawa.
Chifukwa chakuti Klebsiella pneumoniae nthawi zambiri imayambitsa matenda m'zipatala-makamaka omwe akhala m'chipatala nthawi yayitali ndipo atha kufooketsa ma chitetezo cha mthupi (kuganiza ICU) -ndipo chofunikira kuti ogwira ntchito zachipatala osakonzekera aziyesetsa kuthetsa kufalikira kwa mabakiteriya.
Kuwonjezera pa kusunga zipangizo zachipatala ndikuyeretsa ndi kuchepetsa kutalika kwa nthawi yomwe kathetti yakhalamo, kusamba m'manja ndichinthu chodzitetezera ku matenda. Monga momwe wokondedwa amachezera bwenzi kapena wachibale wanu m'chipatala, ndi lingaliro loyenera kusamba m'manja ndi kuchotsa zipangizo zamankhwala.
Pamapeto pake, kwa zaka zoposa 40, ofufuza akhala akufunafuna katemera kuti athe kupewa matenda a Klebsiella pneumoniae. Panopa, pali magulu ambiri odziimira omwe amagwira katemera wotero.
Zotsatira:
Nkhani yotchedwa "Kupititsa patsogolo mayeso oletsa katemera motsutsana ndi Klebsiella chibayo" ndi TA Ahmad ndi alembi omwe amalembedwa mu Vaccine mu 2012.
Brooks GF, Carroll KC, Butel JS, Morse SA, Mietzner TA. Mutu 15. Enteric Gram-Negative Rods (Enterobacteriaceae). Mu: Brooks GF, Carroll KC, Butel JS, Morse SA, Mietzner TA. eds. Jawetz, Melnick, ndi Medical Microbiology ya Adelberg, 26e. New York, NY: Hill ya McGraw; 2013.
Levinson W. Zophatikiza Mwachidule za Mafunika Ofunika Amtundu. Mu: Levinson W. eds. Ndemanga ya Medical Microbiology ndi Immunology, 13e. New York, NY:
Nkhani yotchedwa "Klebsiella spp. monga majeremusi a nosocomial: Epidemiology, Taxonomy, Method Typing, ndi Pathogenicity Zinthu "ndi R Podschun ndi U Ullmann omwe amafalitsidwa mu Clinical Microbiology Reviews.