I-Burkholderia Cepacia ne-Cystic Fibrosis

Ukutheleleka kaningi kwebhaktheriya kungaholela ekubulaleni uma kushiywe kungalashwa

I-Burkholderia cepacia , amabhaktheriya ayebizwa ngokuthi i- Pseudomonas cepacia , ingozi engavamile kodwa ephawulekayo kubantu abaphila ne- cystic fibrosis (CF) . Ngenkathi ukutheleleka kuvame ukungenazo izibonakaliso, kungashintsha kakhulu, ngisho nokusongela impilo.

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Indlela i-Burkholderia Cepacia eyenza ngayo ukutheleleka

I-Burkholderia cepacia ( B. cepacia ) yiqembu lama-bacterium atholakele ngokwemvelo enhlabathini emanzi kanye nezitshalo ezibola.

Esikhathini esidlule, sasivame ukukholelwa ukuthi izinkinga ze- B. cepacia ezitholakala emvelweni azifani nalokho ezitholakala kubantu. Ucwaningo lwamuva luye lwafakazela ngokuphambene, oluqinisekisa ukuthi amabhaktheriya angasakazeka ngokuxhumana nabantu abanegciwane kanye nezindawo ezingcolile.

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Ubukhulu be-B. Cepacia Infection

Uma i- B. cepacia ingena emzimbeni, kunezinto ezintathu ezingenzeka:

• I- colonizes emaphashini kepha ayibangeli izimpawu noma imiphumela yesikhathi eside.
• I-colonizes emaphashini, okwenza ukutheleleka nokuvuvukala kwehlisa kancane umsebenzi wephaphu.
• Isakazeka (sisakaza) kuwo wonke umzimba obangela i- cepacia syndrome , isifo esibonakala ukuwohloka okusheshayo kwamapayipi. Uma kushiywe kungalashwa, i-cepacia syndrome ingabangela ukufa phakathi kwamasonto.

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Izimpawu zika B. Cepacia

Izimpawu ze- B. cepacia , uma zikhona, zifana nalezo zanoma yikuphi ukutheleleka kwamaphaphu futhi zingafaka umkhuhlane, ukukhwehlela, ukuxubana, ukuphefumula nokuphefumula.

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Ukuxilongwa kwe-B. Cepacia

Indlela yodwa yokuthola ukuthi i- B. cepacia yenzani isiko le-sputum (ingxube ye-mucus namathe ekhuphuka emphefumulweni wokuphefumula). Isiko sizoqinisekisa ukuthi i- B. cepacia ikhona futhi, uma kunjalo, yikuphi ukucindezeleka noma ubunzima obhekene nawo.

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Ukuvama kwe-B. Cepacia Infection

B. cepacia akuvamile. Ngokusho kweCystic Fibrosis Foundation, amaphesenti amathathu kuphela abantu abane-CF bavivinya ama-bacteria, kuhlanganise nalabo abanezimpawu futhi ngaphandle.

Izindaba ezinhle ukuthi B. cepacia kwenzeka kaningi kangako kunezinye izilwane ezibhekene nezifo kubantu abane-CF. Izindaba ezimbi ukuthi, uma kwenzeka, kungase kube nzima ukuphatha.

B. i-cepacia ayifuni neze abantu abanamasosha omzimba anempilo.

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Indlela B. Cepacia Isakazeka ngayo

Yize kungenzeka ukuthi i- B. cepacia isakaze ngokuxhumana okungaqondile nezinto (fomites), ukuthintana nomuntu kuyindlela evamile kakhulu yokudlulisela.

Uma udluliselwa ngokungaqondile, i- B. cepacia iyaziwa ukuba ihlale emanzini, amaphilisi, izinsimbi, nezinto zokunakekelwa komuntu siqu kuze kube amahora amabili uma amaconsi amabhaktheriya esomile futhi afike kumahora angu-24 uma emanzi.

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Kudlula B. Cepacia kwabanye

Uma utheleleke nganoma yiluphi uhlobo lwe- B. cepacia , kufanele ugweme ukuxhumana okusheshayo nabanye abantu abakhubazekile. Lokhu kuhlanganisa nokwabelana kwamagumbi esibhedlela noma ukuhlala nabantu abakuvikelekile noma abangenayo i-CF.

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Ukwelapha i-B. Cepacia Infection

Uma unayo i-CF futhi unegciwane le- B. cepacia , kuzodingeka ube nokuzikhandla ngokwengeziwe ngemithi yakho ( imvume yomoya , ama- bronchodilators , ama-mucolytics) ngisho noma ungenayo izimpawu.

Uma kukhona izimpawu, izinto zithola kancane kancane. B. i-cepacia inqabile kakhulu kuma-antibiotic amaningi futhi ngokuvamile idinga ukwelashwa okuhlangene ukuqeda amabhaktheriya.

Nakuba izifundo zakamuva zisho ukuthi izinsiza ezingamelana nezidakamizwa zingaphendula kwisisombululo esibizwa ngokuthi i-nanoemulsion (esebenzisa ama-molecule amancane wezidakamizwa ezincane), lo mqondo usesezinkathini zokuqala zocwaningo.

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Indlela Yokunciphisa Ingozi Yakho Ye-B. Cepacia

Uma unayo i-CF, unganciphisa ingozi yokutheleleka ngokugwema noma yikuphi umthombo ongcolile ongcolile.

Njengomthetho, ungahlanganyeli ukudla, iziphuzo, izitsha, imaski, i-nebulizers, noma ukunakekelwa kwabantu ngabanye. Hlala okungenani izinyawo ezintathu ukusuka kwabanye abane-CF uma bekhwehlela, futhi njalo uhlambuluke uma uhlangene nezindawo ezimanzi noma ezinokungcola.

> Umthombo:

> Gautam, V .; Singhal, L .; noRay, P. "I- Burkholderia cepacia complex: Beyond pseudomonas ne-acinetobacter." I-Ind J Med Microb. 2011; 29 (1): 4-12.