Kuphweka kokha ngati kusamba m'manja kungathe kuchepetsa ngozi
Staphylococcus aureus , amakhala ndi moyo pakhungu komanso nthawi zina m'magazi. Ndicho chifukwa chofala kwambiri cha matenda a khungu ndi ofewa m'mayiko ambiri padziko lapansi. Pali mavuto ambiri a S. aureus m'dziko lapansi lerolino, koma vuto lofunika kwambiri limakhala ndi Staphylococcus aureus ( Maticillin yosagonjetsa Staphylococcus aureus) ( MRSA ).
MRSA sichiphedwa ndi ma antibayotiki omwe amathetsa staph, koma madokotala amapereka chithandizo cha mankhwalawa.
Pezani zenizeni pa zizindikiro za matenda a staph komanso za momwe mungapezere mankhwala ndi chithandizo cha mankhwala.
Mwachidule
S. aureus amachititsa matenda a khungu monga folliculitis , furuncles , carbuncles ndi cellulitis . Kawirikawiri matendawa amachiritsidwa ndi gulu la antibiotic lotchedwa β-lactam antibiotics, koma mankhwalawa samapha MRSA. Zitsanzo za ma antibayotiki a β-lactam ndi awa:
- Penicillin monga benzathine penicillin, nafcillin, ndi dicloxacillin
- Cephalosporins monga cephalexin, cefuroxime, ndi ceftriaxone
- Mayibactam monga aztreonam
- Carbapenems monga imipenem
Kodi MRSA Inachokera kuti?
S. aureus, mofanana ndi mabakiteriya ambiri, amatha kusinthasintha kuti apulumuke. Pamene mabakiteriya amadziwika ndi maantibayotiki, pakhala pali kusintha kwakukulu, kochulukira mu DNA ya mabakiteriya omwe amalola kuti ikhale yogwirizana ndi kupulumuka. Matenda ena a mabakiteriya omwewo amakula omwe ali ndi zosiyana ndi zosiyana.
MRSA yatsatiridwa ku vuto lina la 1950 lomwe limatchedwa mtundu wa phage 80/81 umene umadziwika kuti ukhoza kuchititsa matenda aakulu.
Mitundu
MRSA yagawidwa m'mitundu iwiri:
- CA-MRSA: MRSA
- HA-MRSA: Chipatala chinapeza MRSA
Kawirikawiri HA-MRSA ndi yovuta kwambiri pazigawo ziwirizi.
Komabe, n'zovuta kufotokoza zenizeni za kusiyana pakati pa matendawa chifukwa pali tanthauzo losiyana siyana. Ndiponso, chifukwa cha chikhalidwe cha kukana mabakiteriya, mawonekedwe aang'ono omwe akusintha.
Kudziwa
Njira yeniyeni yodziwira matenda a MRSA ndiyo kuchita chikhalidwe cha bakiteriya pa pus kuchokera ku chilonda cholandira. Nthaŵi zina kutulutsa madzi kuchokera mkati mwa mphuno kwachitika ngati munthu ali chonyamulira cha mabakiteriya.
Kuchiza
Kwa matenda akuluakulu a khungu nthawi zina chithandizo chokhacho ndizofunika kukhetsa pus. Izi zimatchedwa I & D, kapena incision ndi madzi . Mitsuko imagwiritsidwanso ntchito pa matenda akuluakulu limodzi ndi maantibayotiki omwe amagwiritsidwa ntchito kupha mabakiteriya. Pali antibiotics omwe amachiza MRSA, koma kukana ena mwa mankhwalawa kumayamba kukula m'madera ena. Nthawi zina ma antibiotic amagwiritsidwa ntchito pofuna kupewa kupeweratu. Maantibayotiki amene amagwiritsidwa ntchito amagwiritsa ntchito:
- trimethoprim-sulfamethoxazole (Septra kapena Bactrim)
- clindamycin
- linezolid
- tetracycline
- vancomycin
Kupewa
Ndondomeko za ukhondo ndizofunika kwambiri kuti muteteze matenda a MRSA. Pali zifukwa zina zomwe zingayambitse matenda a MRSA ndikudziwa zomwe izi zingakuthandizeni kupewa zochitikazo.
Malangizo oyenera kutsatira ndi awa:
- Phimbani mwamphamvu kuchotsa mabala
- Musakhudze mabala a munthu wina
- Osagawana zinthu monga zinthu monga matayala ndi rasi
- Manja oyera nthawi zonse amagwiritsa ntchito sopo antibacterial kapena gels-based gels
Zotsatira:
Gould, IM. "Tizilombo toyambitsa matenda, khungu ndi tizilombo tofewa komanso Staphylococcus aureus yosagonjetsedwa ndi methicillin: chifukwa ndi zotsatira." Int J Antimicrob Agents. 34 Suppl 1 (2009): S8-11.
Kil, EH et al. "Staphylococcus aureus yosagonjetsedwa ndi Methicillin: ndondomeko ya dermatologist, Gawo 2: Pathogenis and manifestaneous cutaneous." Cutis. 81 (2008): 247-54.
Miller, LG, ndi SL Kaplan. "Staphylococcus aureus: malo osungira anthu odwala matendawa." Matenda opatsirana opatsirana a North America. 23 (2009): 35-52.