CHILENGA ndi Carbapenem-Resistant Enterobacteriaceae . Awa ndiwo mabakiteriya omwe amamenyana ndi kupambana motsutsana ndi maantibayotiki. Mabakiteriya amakana ndikugonjetsa maantibayotiki omwe amatiteteza. Mabakiteriyawa amatithandiza kuti tiyandikire kwambiri nthawi yomwe antibayotiki isanayambe.- kapena monga momwe timanenera, nthawi yotsutsana ndi maantibayotiki yomwe sitiyembekeza kuti idzachitika.
Tiyeni Tizithetse Pansi
Carbapenems ndi gulu la maantibayotiki.
Kalasi imeneyi ya maantibayotiki nthawi zambiri ndipamene amatha kutetezera mabakiteriya osagonjetsedwa. Nthawi zambiri madokotala amafikira mankhwalawa pamene ma antibayotiki ena samagwira ntchito, kawirikawiri chifukwa cha ma antibiotic. Maantibayotiki awa nthawi zambiri amatchedwa antibiotic wachiwiri. Gululi likuphatikizapo mchere, ertapenem, imipenem, ndi doripenem .Maantibayotiki amachiza mitundu yambiri ya mabakiteriya ( gramu yabwino ndi yoipa , aerobic ndi anaerobic) mu ziwalo zosiyanasiyana za thupi kuchokera pakhungu kupita ku magazi mpaka mtima kupita ku thupi. thirakiti. Momwemonso, maantibayotiki awa nthawi zambiri amawasungira matenda akuluakulu pamene maantibayotiki ena sangagwire ntchito.
Mabakiteriya otsutsa ndi omwe samayankha maantibayotiki. Timasankha maantibayotiki makamaka kwa mtundu wa matenda kapena chifukwa chodziwika cha matenda. Nthawi zina maantibayotiki amasiya kugwira ntchito, Kawirikawiri chifukwa amapeza majini omwe amawalola kuti awononge momwe mabakiteriya amachitira ndi maantibayotiki.
Izi zikutanthauza kuti ma antibiotic sangathe kuwononga mabakiteriya - kapena sangathe kuchita mokwanira kuti agwire ntchito.
Enterobacteroacae ndi banja la mabakiteriya a gram olakwika mu mawonekedwe a ndodo. Mabakiteriya ochokera m'banja lino amapezeka m'matumba athu m'mimba. Iwo ali gawo lathu labwino la matope - microbiome.
Nthawi zina amatha kudwala. Zingayambitse chilichonse kuchokera m'matenda a mkodzo kwa meningitis obadwa kumene ku chibayo mpaka kutsekula m'magazi kupita ku mafupa.
Mabakiteriya wamba omwe amachokera m'banja lino ndi Enterobacter, Escherichia, Klebsiella, Proteus, Providencia, Salmonella, Shigella, ndi Serratia.
Ndani Amalandira Matendawa?
CHILENGEDWE nthawi zambiri chimakhudza munthu yemwe ali kale kuchipatala, nyumba yosungirako anthu okalamba, kapena ali ndi ndondomeko mu chipatala cha kunja. Anthu omwe ali ndi zipangizo zamtundu uliwonse zamakina kapena zachipatala omwe amaikidwa ali pangozi. Izi zikutanthauza kuti omwe ali ndi catheter kukodza, mzere wa IV, kapena pa mpweya woti awathandize apuma. Anthu omwe amamwa maantibayotiki ambiri amakhala pachiopsezo chachikulu.
Kutumiza nthawi zambiri kumapezeka m'manja mwa ogwira ntchito zachipatala kapena kuchokera ku zipangizo zamankhwala zomwe sizinatetezedwe bwino pakati pa ntchito. Panali kuphulika pakati pa anthu omwe anali ndi m'mimba omwe ankakhala ndi mabakiteriya, ngakhale kuti chipangizocho chinatsukidwa ndi kutetezedwa ku disinfected.
Kawirikawiri, anthu wathanzi sapeza CRE.
Izi zikutanthauza kuti iwo amene amalenga CRE nthawi zambiri amadwala kale. Izi zingathandizire kuti anthu ambiri azifa, mwina okwana 50% mwa omwe ali ndi kachirombo ka HIV.
Matendawa akhoza kutsutsana ndi pafupifupi ma antibayotiki onse.
Kodi Anthu Ambiri Amapeza Izi?
Osati ku US. Chodetsa nkhaŵa ndi chakuti ngati icho chiyamba kufalikira kuti sitidzakhala ndi maantibayotiki kuti amaletse kufalikira muzipatala.
Chili kuti?
Maguluwawa amapezeka padziko lonse kuchokera ku India kupita ku Greece kupita ku Puerto Rico ndi ku New York City. Zimakhala zachilendo kwambiri pamene mankhwalawa ndi osowa kwambiri, monga mayiko otsika kwambiri. Pali malo otentha omwe akuzungulira dziko lonse lapansi kumene anthu akukumana ndi matenda.
Kodi Aliyense Amene Amalandira Chifuwa Amakhala Wodwala?
Ayi, anthu ena ali ndi colonizedwe. Izi zikutanthauza kuti mabakiteriya amakhala kwinakwake mu thupi lawo popanda kuchititsa matenda.
Mabakiteriya amenewa akhoza kukhala m'matumbo popanda kuchititsa matenda ena. Komabe, amatha kupatsirana mabakiteriya ena m'matumbo ndipo amatha kuyambitsa matenda, monga matenda a umuna.
Mabakiteriya Amakhala Bwanji Wotsutsa?
Nthawi zina kusintha kwamasintha kumakula. Nthaŵi zambiri, plasmids, zomwe zili ndi mabini, zimapangitsanso mabakiteriya kumalo ena.
Kodi Pali Mitundu Yosiyanasiyana?
Pali mitundu yambiri . Madokotala amadziwa za Klebsiella pneumoniae carbapenemase (KPC), New Delhi metallo-β-lactamase (NDM), Verona integron encoded metallo-β-lactamase (VIM), imipenemase metallo-β-lactamase (IMP), ndi oxacillinase-48 (OXA- 48).
Ku US, KPC ndi yofala kwambiri. Zimapangitsa kuti khoma la selo lisalowe mosavuta.
Zowonjezereka kwambiri ndizo zothandizira ma carbapenemase (KPC, NDM, VIM, IMP, andOXA- 48). Izi zayamba kufalikira kwambiri padziko lonse lapansi.
Kodi Zikusiyana Bwanji ndi Zina Zing'onoting'ono?
Mabakiteriyawa ndi mtundu wina wa mabakiteriya omwe amatchedwa bakiteriya a gram. Izi zimapangitsa CRE kukhala yosiyana ndi zina zambiri za Superbugs monga MRSA ndi VRE, zomwe ndi mabakiteriya abwino. Mabakiteriya abwino a Gram amayankha mankhwala osiyana siyana omwe sangagwiritse ntchito ma ARV. Pali mankhwala ena omwe amatha kuchiza onse awiri.