Kuchipatala Kuchipatala, Superbugs Ali Ponseponse
Palibe zokambirana za chitetezo chokhalitsa chomwe chingakhale chokwanira popanda kulemba kukula kwa superbugs, tizilombo toyambitsa matenda zomwe zimapangitsa odwala kukhala odwala komanso amachititsa imfa. Iwo amatchedwa superbugs chifukwa ndi kovuta kwambiri kupha iwo ndi mankhwala omwe alipo, omwe amalephera kusankha mankhwala.
Ziwombwe zimadziwika ndi mayina monga:
- Staphylococcus aureus (MSAC) yosagonjetsedwa ndi Methicillin (MRSA)
- Clostridium difficile (C.Diff)
- Vanocycin-resistant enterococci (VRE)
- Chombo cha Interbapteriaceae cha Carbapenem (CRE) ndi Carbapenem osagonjetsa Klebsiella pneumoniae (CRKP)
- Necrotizing fasciitis , matenda odya nyama
Zachilengedwe, koma Moyo Ukuwopseza
Mwina n'zosadabwitsa kuti zina mwazilombozi zilipo mwachilengedwe komanso sizikuthandiza anthu odwala. Mwachitsanzo, pafupifupi gawo limodzi mwa magawo atatu a anthu ali ndi "colonized" ndi mabakiteriya Staph aureus, omwe amatanthauza kuti amakhala amoyo pakhungu la anthu popanda kuchititsa matenda. Pafupifupi 1 peresenti ya anthu ali ndi koloni ndi mawonekedwe osagwiritsira ntchito ma antibayotiki a staph aureus (otchedwa MRSA). Chiwerengerochi ndi chapamwamba kwa anthu omwe adatulutsidwa kuchipatala.
C. Kusiyesa amakhala ponseponse, komanso, kuphatikizapo machitidwe opatsa munthu. Vutoli ndiloti sizingayambitse mavuto mpaka munthu atayamba kutenga mankhwala opha tizilombo ku matenda ena.
Pa nthawi imeneyo, C. Kusi ikhoza kulamulira kuti munthu amene ali ndi kachilomboka azidwala kwambiri.
Ziwombwezo siziwoneka ndipo zimatha kupulumuka pamtunda kwa masiku atatu. Izi zikutanthauza kuti angathe kusamutsidwa pamene munthu wina wodwala amangokhudza munthu wina. Zitha kuperekanso pamene wodwala akukhudza chinachake chimene tizilombo timakhalapo, monga stethoscope, kutalikirana kwa TV, makina a kompyuta, kapena zida zochitira masewera.
HAIs: Matenda Achipatala Omwe Amapezeka (Osasintha)
Malingana ndi Centers for Disease Control and Prevention (CDC), pafupifupi munthu mmodzi mwa anthu 25 a ku America amalumikizana ndi matenda opatsirana ndi chipatala (HAI) tsiku lililonse. Amaloledwa kuchipatala, kuvulala, kapena kudwala ndipo amayamba kudwala matenda oopsa. Ena kuchipatala-ena odwala komanso ena wathanzi-amatha kutulutsa tizilombo toyambitsa matenda ndipo tizilombo toyambitsa matenda tingagwire ndikuyamba kukula.
Tizilombo toyambitsa matenda timapeza mosavuta magazi a wodwalayo ali ndi bala lotseguka kuchokera kuvulala kapena opaleshoni. Magulu akayamba kulowa m'magazi, wodwalayo amatchedwa sepsis kapena septicemia . Odwala omwe ali ndi matenda ena kapena chikhalidwe akhoza kukhala ndi chitetezo cha chitetezo cha mthupi, kuwapangitsa iwo ofooka kwambiri kuti asamenyane nawo. Okalamba amakopeka makamaka chifukwa kachitidwe kawo kakakhala kovuta chifukwa cha msinkhu wawo.
Pomwe wodwalayo ali ndi kachilombo, chipatala chimawonjezeka, nthawi zina kwa miyezi. Nthawi zina, matendawa amatha kulamulidwa mokwanira kotero kuti wodwala angathe kutuluka kuchipatala. Koma odwala ambiri sali ndi mwayi. Mwa Achimereka 1.7 miliyoni omwe ali ndi kachilombo kazipatala chaka chilichonse, pafupifupi 99,000 mwa iwo amamwalira ndi matendawa.
Chifukwa cha kuchuluka kwa HAIs komanso kuti ambiri amatetezedwa, dongosolo la Medicare likulingalira zipatala ndi ma high HAI. Muzochitika izi, ndalama zowonjezera za Medicare zachepetsedwa ndipo chilango chimawoneka ngati njira yakulimbikitsira zipatala kuti zithetse kuyesayesa.
Kodi Mungapewe Bwanji Kutengera?
Palinso njira zina zomwe odwala angatenge ngati ali ndi vuto loletsa matenda opatsirana kuchipatala . Mwachitsanzo, mukhoza kuyang'ana muyezo wamatenda wa chipatala kapena dokotala ndikudziwa momwe matendawa amafalikira muzipatala. Njira zoyera zapadera zingathandize kuchepetsa matenda.
Mawu Ochokera
Matenda opatsirana pogonana komanso matenda omwe amapezeka kuchipatala angakhale nkhani yoopsya imene simukufuna kuganizira. Komabe, nkofunika kuti mukhalebe ozindikira za ngozi zomwe zingakhalepo kuti chipatala chowoneka ngati chaching'ono sichitha kukhala vuto lalikulu. Kuchita khama pang'ono ndi kudziŵa musanavomereze kuchipatala kungapangitse kusiyana.
> Chitsime:
> Zolinga za Kuletsa ndi Kuteteza Matenda. Matenda Ogwirizanitsa Zaumoyo. 2017.
> Zolinga za Kuletsa ndi Kuteteza Matenda. Kupewa Matenda Ogonjera Odwala. 2011. https://www.cdc.gov/washington/~cdcatWork/pdf/infections.pdf
> Rau J. Medicare Amalanga anthu 758 Achipatala chifukwa cha zochitika zachitetezo. Kaiser Health News. 2015.