Ukuhamba okulula njengokuhlanza izandla kunganciphisa ingozi
I-staphhylococcus aureus ye- bacteria ( staphylococcus aureus) , evame ukuhlala esikhumbeni futhi ngezinye izikhathi emaqenjini angamanzi. Yiyona imbangela evame kakhulu yokwelashwa kwesikhumba kanye nezilonda ezithandekayo emazweni amaningi emhlabeni. Kunezinhlobo eziningi ze-S. aureus emhlabeni namuhla, kodwa ukukhula okubalulekile ku-Staphylococcus aureus (MPACillin-resistant Staphylococcus aureus) ( MRSA ).
I-MRSA ayibulawe yi-antibiotic evamile eqeda i-staph, kodwa odokotela basakhipha ukwelashwa kwalolu daba.
Thola amaqiniso ngezibonakaliso nezibonakaliso zokutheleleka kwe-staph kanye nokukhethwa kwezifo kanye nokuphathwa kokwelapha ngalesi sibuyekezo.
Sibutsetelo
S. aureus ibangela izifo zesikhumba ezifana ne- folliculitis , furuncles , carbuncles kanye ne- cellulitis . Ngokuvamile lezi zifo ziphathwa ngeqembu lama-antibiotic okuthiwa i-β-lactam antibiotics, kodwa la ma-antibiotics awabulali i-MRSA. Izibonelo ze-β-lactam antibiotics zifaka:
- Ama-penicillin afana ne-benzathine penicillin, nafcillin, ne-dicloxacillin
- Ama-cephalosporins afana ne-cephalexin, i-cefuroxime, ne-ceftriaxone
- I-monobactam efana ne-aztreonam
- I-Carbapenems njenge-imipenem
I-MRSA ivelaphi?
S. aureus, njengamabhaktheriya amaningi, unamandla okuguqula ukuze usinde. Njengoba amabhaktheriya evezwe kuma-antibiotics, kuye kwaba nezinguquko ezincane, ezingaphezulu kwi-DNA yebhaktheriya evumela ukuthi ivumelane nokuphila. Izinkinga ezithile zebhaktheriya ezifanayo zithuthuka ezinezakhiwo ezahlukene kanye nezimo ezihlukile.
I-MRSA ilandelwe emuva emithini yeminyaka engama-1950 okuthiwa i-phage type 80/81 eyayiziwa ngekhono layo lokubangela izifo ezinzima.
Izinhlobo
I-MRSA ihlukaniswe yaba izinhlobo ezimbili:
- I-CA-MRSA: Umphakathi we-MRSA onamanzi
- I-HA-MRSA: I-MRSA ithola izibhedlela
Ngokuvamile i-HA-MRSA iyona engathí sina kulezi zinhlobo ezimbili.
Kodwa-ke, kunzima ukuchofoza amaqiniso mayelana nokwahlukana phakathi kwalezi zifo ngoba kunezincazelo ezahlukene zezinhlobo ezincane. Futhi, ngenxa yemvelo yokuphikiswa kwamagciwane, i-sub-izinhlobo ngokwayo iyashintsha.
Ukuxilongwa
Indlela ecacile yokuthola ukutheleleka kwe-MRSA ukwenza inkambiso yebhaktheriya ku-pus kusuka kwilonda elithathelwanayo. Ngezinye izikhathi ukukhiqiza uketshezi okuvela ngaphakathi kwempumu kwenziwa ukucacisa ukuthi umuntu uyithwala yini amabhaktheriya.
Ukwelapha
Ngezinye izikhathi izifo zesikhumba ezincane kuphela ukwelashwa okudingekayo kuphela ukukhipha i-pus. Lokhu kubizwa ngokuthi i- I & D, noma ukungena nokugeleza . Ukugeleza kusetshenziselwa ukutheleleka okuthe xaxa kanye nama-antibiotic asetshenziselwa ukubulala amabhaktheriya. Kukhona ama-antibiotic aphathelene ne-MRSA, kodwa ukuphikiswa kwamanye ama-antibiotics kuqala ukuthuthukisa kwezinye izindawo. Ngezinye izikhathi inhlanganisela yama-antibiotics isetshenziselwa ukuvimbela ukumelana okuqhubekayo ekuthuthukiseni. Ama-antibiotics asetshenziswe ngokujwayelekile afaka:
- trimethoprim-sulfamethoxazole (Septra noma iBactrim)
- clindamycin
- linezolid
- tetracycline
- vancomycin
Ukuvimbela
Izindlela zokuhlanzeka komuntu siqu ziyisihluthulelo sokuvimbela ukutheleleka kwe-MRSA. Kunezici ezithile ezingozi zokuthuthukisa ukutheleleka kwe-MRSA nokukwazi ukuthi lezi zingakusiza yini ukugwema lezo zimo.
Imihlahlandlela ecacile okumele ilandelwe ihlanganisa:
- Vala ngokugcwele ukukhipha amanxeba
- Ungathinti amanxeba omunye umuntu
- Ungabelani izinto siqu ezifana namathawula nama-razors
- Hamba izandla njalo usebenzisa isobho lokulwa ne-antibacterial noma i-gels based based
Imithombo:
I-Gould, i-IM. "Ama-antibiotics, isikhumba kanye nokutheleleka kwezicubu ezithambile kanye ne-Staphylococcus aureus engamelana ne-methicillin: imbangela nomphumela." Ama-Int J Antimicrob Agents. I-Suppl 1 (2009): S8-11.
I-Kil, i-EH et al. "I-Staphylococcus aureus engamelana ne-Methicillin: isibuyekezo se-dermatologist, Ingxenye 2: I-Pathogenesis ne-manifestaneous cutaneous." I-Cutis. 81 (2008): 247-54.
I-Miller, i-LG, ne-SL Kaplan. "I-Staphylococcus aureus: i-pathogen yomphakathi." Imitholampilo yezifo ezithathelwanayo eNyakatho Melika. 23 (2009): 35-52.