Zonse zokhudza MRSA Matenda
MRSA ndi chidule cha matenda a methicillin omwe sagonjetsedwa ndi Staphylococcus aureus , omwe amalankhula mwamwayi kuti matenda a MRSA ndi Staphylococcus aureus (matenda a bacapia "staph") omwe sagonjetsedwa ndi ma antibayotiki ambiri. Izi ndi zomwe zikuchitika - pafupifupi 30 peresenti ya anthu onse ali ndi koloni (pa khungu lawo kapena m'mphuno zawo) ndi Staphylococcus aureus .
Makoloni amangotanthauza kuti ntchentche za Staphylococcus aureus zilibe phokoso pakhungu. Palibe kanthu kakang'ono, tizilombo ting'onoting'ono timatulutsira kunja kwa matupi athu, Staphylococcus aureus ndi chimodzi mwa izo.
Ayenera Kuwerenga: Tetezani ku Matenda a MRSA
Matenda a Staphylococcus Aureus , Zaka Zambiri
Koma ngati Staphylococcus aureus iyi imapita ku malo omwe sichiyenera kukhala (kunena pansi pa khungu lanu kudzera pa bala) ndipo chitetezo chanu cha mthupi sichingathetse vutoli, mukhoza kuthetsa matenda a "Staph". "Matenda a Staph" ndi omwe amapezekapo nthawi zonse ( matenda ). Popeza kuti anthu 30% ali ndi colonizedwe, amatanthauza "Staph" kulikonse. "Staph" kunja kwa thupi lanu kulowa mkati kapena namwino, atamukhudza wodwalayo, amaiwala kuti asambe m'manja ndi kumabweretsa tizirombo ta Staphylococcus aureus mu bala lanu. Padziko lapansi, Staphylococcus aureus yonse si yaikulu - tilibe mabala otseguka ndipo chitetezo chathu cha mthupi chikugwira ntchito bwino. Koma kuchipatala, anthu ambiri ali ndi khungu lotseguka (chifukwa cha opaleshoni, catheters, intravenous, etc.) ndipo ma chitetezo cha mthupi sali 100% (chifukwa cha matenda), kuti "Staph" matendawa ndi ofala.Maantibayotiki omwe amachititsa ntchito yabwino amamenyera matendawa "Staph", mpaka Staphylococcus aureus itayamba kusintha machitidwe awo.
Zina mwa Staphylococcus aureus , mwazidzidzidzi , sizinapwetekeke ndi maantibayotiki monga ena. Zamoyozo zinapulumuka, zinachulukitsa ndipo zinapanga staphylococcus aureus zambiri monga iwo - zosagonjetsedwa ndi maantibayotiki. Patapita nthawi, zida zanzeruzo sizinagonjetsedwe, kuti chida chathu cha mankhwala osokoneza bongo sichinayambe kugwira ntchito. Mitundu yatsopanoyi imatchedwa "Methicillin Resistant Staphylococcus aureus " kapena MRSA. Mu 1961, mabakiteriya oyambirira a MRSA adadziwika. Kuchokera apo, vutoli limagonjetsedwa osati osati methicillin koma amoxicillin, penicillin, oxacillin, ndi mankhwala ena ambiri a antibiotic .
Matenda a MRSA Masiku Ano
Akuti anthu pafupifupi 5 peresenti ya ku US ali ndi coloni ndi MRSA (kutanthauza, MRSA ali pamphuno kapena m'mphuno zawo, koma "alibe kachilombo" - akungotenga mabakiteriya mozungulira). Anthu omwe ali ndi coloni ali ndi chiopsezo chachikulu chotenga matenda a MRSA - mwachitsanzo, ngati munthu wina wa MRSA ali ndi ntchito ndipo mabakiteriya a MRSA pakhungu lake alowa pakhungu, pangakhale vuto lalikulu.Osati kokha, koma MRSA anagonjetsa ndipo matenda a MRSA amafalitsa mabakiteriya a MRSA pa malo opita kuchipatala. Zikuoneka kuti 75% ya zipinda zodwala zakhudzidwa ndi MRSA ndi VRE.
Kafukufuku amasonyeza kuti ngati wogwira ntchito zachipatala akulowa m'chipinda cha wodwalayo ndipo alibe kukhudzana ndi wodwalayo, magolovesi ake adzalinso oipitsidwa ndi 42%, nthawi yomwe amachokera kumalo.
Mu 2005, padali malo 368,600 a chipatala cha matenda a MRSA. Ichi chinali katatu chiwerengero cha matenda a MRSA mu 2000 ndipo katatu chiwerengerocho chinachokera mu 1995. Pafupifupi 60 peresenti ya matenda a "Staph" muzipatala tsopano ndi matenda a MRSA. Padziko lonse, a MRSA akupanga pafupifupi 8% mwa chipatala chonse chomwe chinalandira matenda.
Kodi Ndizovuta Kwambiri Kulimbana ndi Matenda a MRSA?
Mwinamwake mwakhala mukuwona nkhani zina zokhudza vuto la MRSA ndi momwe kulili kwakukulu. Sindikufuna kufalitsa maganizo, koma mwina ndi wamkulu kuposa momwe mukuganizira. Pano pali zovuta zina zokhudza MRSA kuti ndikupangitseni bwino kukula kwa vuto la matenda a MRSA:Matenda a MRSA, US Statistics
- Nambala ya MRSA yotenga chaka chilichonse: 880,000 (nambala za 2007)
- % ya opaleshoni ya chipatala MRSA akudwala chaka chilichonse: 2.4%
- Ndalama zowonjezera pa matenda a MRSA: osachepera $ 10,000
- Ndalama zonse za matenda a MRSA pachaka: pafupifupi $ 8 biliyoni
- Avereji yawonjezeka nthawi yaitali: 6 masiku ena apatala
- % la anthu omwe ali ndi matenda a MRSA omwe amafa nawo: 5%
- Chiwerengero cha kufa kwa matenda a MRSA pachaka: 20,000 mpaka 40,000
Matenda a MRSA, Padziko Lonse
Mkhalidwe wa dziko lonse wa MRSA ndi wovuta kwambiri kuti upezepo kanthu. Ku Ulaya, vuto silikuwoneka ngati loipa monga ku US, mwina chifukwa cha kusiyana kwa mankhwala oletsa antibioitics komanso chifukwa cha njira zowonetsera (monga kuvomerezedwa kwa MRSA kwa odwala onse m'madera ena ). Izi zati, mliri udakalibe ndipo ngati MRSA akuyenda kuchokera ku US kupita ku Ulaya, akuyembekeza kuona mitengo ikuwonjezeka kumeneko.Kodi Izi Zachitika Bwanji?
Pali zifukwa zambiri zomwe tili ndi vuto la MRSA lero. Chifukwa chachikulu ndi chakuti mabakiteriya a Staph ayamba kukana mankhwala a methicillin ndi ma antibayotiki ena. Chifukwa chiyani? Mankhwala oteteza maantibayotiki amatha kusintha mwa kusintha kwasintha ndi kusintha kosasintha. Pamene mabakiteriya akuyankhira, gawo la iwo omwe amapangidwa (mwangozi) akhoza kukhala osinthika ndipo amatha kupulumuka ngakhale pakakhala maantibayotiki. Amene apulumuka akhoza kukhala oyenerera kuti apitirize kuberekana ndi kuchititsa matenda. Palinso deta zambiri zomwe zimagwiritsidwa ntchito mopitirira muyeso kwa ma antibiotic kwazaka zambiri zapangitsa kuti pakhale vuto. Chifukwa tinagwiritsira ntchito mankhwala osokoneza bongo kwa zaka zambiri. Mwachitsanzo, maantibayotiki nthawi zambiri amatumizidwa ku mavairasi (monga ngati anthu ali ndi chimfine kapena chimfine), izi zimayambitsa mabakiteriya. Akapezeka ndi maantibayotiki, mabakiteriya ena mwachibadwa amakhala "ovuta" kuposa ena. Mabakiteriyawa amakhala ndi moyo (makamaka pamene odwala samatenga mankhwala okwanira a antibiotic). Zimapulumuka, kubereka ndikupanga ana osagonjetsedwa. Pitirizani kuzungulira kwa zaka makumi angapo ndipo kachilombo katsopano ka mabakiteriya kakuwoneka kuti ndi kosagonjetsedwa ndi maantibayotiki.Koma sikumangogwiritsira ntchito molakwika mankhwala omwe ali vuto, pali kugwiritsa ntchito molakwika mankhwala opha tizilombo m'makampani. Maantibayotiki ameneŵa amatha kudya ndi madzi, kupereka mankhwala ochepa a antibiotic omwe amathandiza kupanga mabakiteriya osagonjetsedwa.
Kodi Tsogolo Lidzakhala Liti?
Zambiri mofanana, zambiri zambiri. Palibe zizindikiro kuti MRSA ndi matenda ena amatha. Mwamsanga pamene kachilombo kamodzi kamakhala kolamulidwa, zikuwoneka kuti pali ziwiri zomwe zingalowe m'malo. Ngakhale MRSA akadali nkhaŵa yaikulu (popanda zizindikiro zochepetserako), magulu ena awiri apamtima ayamba kale kuyimitsa: C. Kusiyana . ndi A. Baumannii.Muyenera Kuwerenga: Tetezani ku Matenda a MRSA
Zotsatira:
CDC tsamba pa MRSA
John L. Zeller, MD, PhD, Writer; Alison E. Burke, MA, Wofotokoza; Richard M. Glass, MD, Mkonzi. The Journal of the American Medical Association. Vol. 298 No. 15, October 17, 2007.
Matenda Oopsya a Methicillin-Resistant Staphylococcus aureus ku United States. R. Monina Klevens, Melissa A. Morrison, Joelle Nadle, Susan Petit, Ken Gershman, Susan Ray, Lee H. Harrison, Ruth Lynfield, Ginwa Dumyati, John M. Townes, Allen S. Craig, Elizabeth R. Zell, Gregory E Fosheim, Linda K. McDougal, Roberta B. Carey, Scott K. Fridkin, ndi A Bacterial Core surveillance (ABCs) Ofufuza a MRSA. JAMA. 2007; 298 (15): 1763-1771.
National Institutes of Health. Medline Plus. MRSA.
Mphindi Mwachidule # 35. Ntchito Yogwiritsira Ntchito Zakudya za Umoyo (HCUP). July 2007. Bungwe la Healthcare Research ndi Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/statbriefs/sb35.jsp.