I-Staph yindlela encane yokukhuluma nge- Staphylococcus aureus bacteria, okuyinto ejwayelekile yezifo zesikhumba.
Izimpawu ze-Staph Infections
Izimpawu zesifo sofuba se-staph sincike lapho ukutheleleka khona. Ama-staph bacteria angabangela:
- Amathumba - i-abscess ngaphakathi kwesikhumba. Futhi ubizwa ngokuthi i-furuncle.
- I-cellulitis - ukutheleleka kwesikhumba esendaweni okungenza isikhumba sibomvu, sibuhlungu futhi sishise
- I-folliculitis - ukutheleleka kwezinwele zezinwele
- I-Impetigo - ibangela izibhansela (i-bullous impetigo) noma izilonda ezinemibala enamahloni esikhumbeni
- I-Paronychia - ukutheleleka kwezibopho zesikhumba zezipikili
Ngaphandle kwezifo zesikhumba, ama-staph bacteria angabangela:
- I-bacteremia - ukutheleleka kwegazi
- Amathumba amancane - iqoqo le-pus endaweni ethile emzimbeni
- Endocarditis - ukutheleleka kwama-valves enhliziyo
- Uketshezi lokudla - ngokujwayelekile ukukhiqiza i- Staphylococcus aureus ne- milk eluhlaza kanye noshizi nezinye izinto zokudla eziphezulu .
- I-Lymphadenitis - ukutheleleka kwe- lymph gland , okubangela ukuba kube obomvu, ukuvuvukala nokubuhlungu
- I-Lymphangitis - ukutheleleka kweziteshi zethrifu ezidlulela kuma-lymph glands, okubangela ukuqubuzana okubomvu esikhumbeni
- Osteomyelitis - ukutheleleka kwethambo
- I-scalded skin syndrome - ingaholela esikhwameni esikhukhulayo esivela sikhishwe futhi siphenduka
- I-arthritis ye-Septic - ukutheleleka kokuhlanganiswa, njenge-hip noma idolo
- Izitembu - ukutheleleka kwezigulane kwijwabu leso
- I-syndrome yokudabuka kwe-toxic - ehlotshaniswa nokusetshenziswa kwamathoni
I- Staphylococcus aureus amabhaktheriya angeke futhi ibangele ukudala ezinye izifo, kuhlanganise ne- pneumonia , izifo zezindlebe , nesono.
MRSA
I-MRSA isichazamazwi se-Methicillin-Resistant Staphylococcus aureus , uhlobo lwebhaktheriya olumelana nemithi eminingi yama-antibiotic , okufaka imithi ye-methicillin, i-penicillin, i-amoxicillin ne-cephalosporins.
Ngokuvamile i-MRSA - hhayi i-MUR-SA.
Nakuba kanye kuphela okubhekiswe ezibhedlela, emakhaya asebekhulile, nezinye izindawo zokunakekelwa kwezempilo, ukutheleleka kwe-MRSA manje sekuvame kakhulu phakathi kwezingane ezinempilo nabantu abadala emphakathini. Udokotela wezingane uzokusola ukuthi ukutheleleka, okufana nekhanda lomlenze, kubangelwa i-MRSA uma kungaphuthumanga nama-antibiotic okuvamile. Uma kunjalo, i-abscess ingahle idinge ukucinywa noma ingane yakho izodinga ukuguqulwa ibe yimithi elwa namagciwane eqinile noma ehlukile ukuphatha ukutheleleka.
Ukuxilongwa kweStab Infections
Ukuxilongwa kwezifo eziningi zesikhumba kwenziwa ngephethini yezimpawu kanye nokuhlolwa kokuhlolwa komzimba. Kodwa-ke, ngokuvamile akunakwenzeka ukwazi ukuthi ngabe ukutheleleka kubangelwa ama-staph bacteria noma amanye amabhaktheriya, njengeqembu A Beta-hemolytic streptococcus ( Streptococcus pyogenes ). Futhi ezimweni eziningi, akunandaba, njengoba imithi yakho elwa namagciwane ihlelwe cishe izophatha zonke izibhaktheriya.
Ukuze wenze ukuxilongwa okucacile nokuqinisekisa ukuthi i-staph yi-bacteria ebangela ukutheleleka, isiko singenziwa. Uma ama-bacteria ekhonjisiwe emasikweni, iphethini ekuthandeni imithi elwa namagciwane angasiza ukutshela noma ngabe empeleni i-MRSA, isimiso se-staph aureus, noma amanye amabhaktheriya.
Ukwelashwa kwe-Staph Infections
Ama-antibiotic e-Antistaphylococcal yizona zokwelapha ezijwayelekile zokutheleleka kwe-staph. Lokhu kungabandakanya ukhilimu we-antibiotic ukhilimu (Bactroban, Altabax, njll) impetigo elula, ukucindezeleka okufudumayo, kanye nokugeleza kwamabhomu, imithi elwa nomlomo noma i-antibiotic emithanjeni yokuthola izifo ezingathí sina noma eziqhubekayo.
Ama-antibiotic omlomo asetshenziswa ngokuvamile ahlanganisa i-cephalosporins yesizukulwane sokuqala njenge-Keflex (cephalexin) ne-Duricef (cefadroxil).
Njengoba ukumelana nemithi elwa namagciwane manje kuvamile phakathi kwama-staph bacteria, kufaka phakathi i-MRSA, i-antibiotic yokuqala ingane yakho enqunyiwe kungenzeka ingasebenzi.
Eziningi zalezi zifo ezitholakale emphakathini zikaMRSA zisengaphathwa ngama-antibiotic ngomlomo, kodwa njenge-clindamycin ne-trimethoprim-sulfamethoxazole (TMP-SMX noma i-Bactrim). I-MRSA engamelana nemithi eminingi engathí sina futhi eningi kakhulu ingasetshenziswa ekwelashweni nge-anticomotic vancomycin kanye / noma emanzini okugeleza.
Ngeshwa, ezinye izifo zesifo se-staph, ikakhulukazi ezihlasela izifo ze-MRSA, zingaba zibulale.
Okufanele Ukwazi NgoStaph noMasipala we-MRSA
Ezinye izinto zokwazi mayelana nokutheleleka kwe-Staph ne-MRSA zifaka ukuthi:
- I- S. aureus bacteria ngokuvamile ihlala noma ikoloniza isikhumba sabantwana nabantu abadala. Kuyinto evamile kakhulu ukuyithola ekhaleni, okungenza ukuthi isakazeke kalula njengoba izingane zikhetha ikhala.
- I-MRSA isanda kakhulu. Kucatshangwa ukuthi abantu abangafika ku-2% bakhonjiwe ngamabhaktheriya we-MRSA.
- Ukuqeda ukoloni lwe-staph, ngezinye izikhathi kungasiza ekuphatheni wonke amalungu omndeni ngegridi yama-mupirocin (i-Bactroban) yezinyosi kabili ngosuku ngezinsuku ezingu-5-7, wonke umuntu angathatha ama-Hibiclens onke amasonto onke (i-Antiseptic, Antimicrobial Skin Cleanser) noma ama- bathach baths wonke amanxeba agubungelekile, futhi ukhuthaze kakhulu ukuwa izandla.
- Nakuba kungakhathazeki ngane yakho, ukuba nengane yakho idle i-abscess kungaba yindlela engcono kakhulu yokuqeda ukutheleleka.
- I-Zyvox (linezolid) iyi-antibiotic entsha engasetshenziselwa ukwelapha izifo zesikhumba ezinzima nezilula, kuhlanganise nalabo abangelwa i-MRSA, ezinganeni. Kungcono kakhulu kanti futhi kungenzeka ukuthi kunqunywe kuphela uma amanye ama-antibiotic engasebenzi noma ama-staph bacteria ayaziwa ukuthi ayamelana namanye ama-antibiotic asetshenziswa kakhulu, njenge-Bactrim ne-clindamycin.
- Gcina izinyembezi, ama-scrapes, kanye nezinhlayiya zihlanzekile futhi zimbozwe ukuvimbela ukuba bangenwe yi-bacaphria.
- Khuthaza izingane ukuba zigweme ukwabelana ngamathawula, ama-razors, imishini yezemidlalo, nezinye izinto ezikhona esikoleni nasesikhathini sokugaya , lapho ukusakazwa kwezifo ze-staph kubonakala kuyinto evamile.
Khuluma nodokotela wezingane uma ucabanga ukuthi ingane yakho ingase ibe nokutheleleka kwe-staph noma uma ukhathazekile nge-MRSA.
> Imithombo:
> Ukuxilongwa kwe-MRSA. Cohen & Powderly: Izifo ezithathelwanayo, 2nd ed.
> UMnu. Nicolle L. Umphakathi otholakale noMasipala: Umhlahlandlela wezokwelapha. I-CMAJ 18-JUL-2006; 175 (2): 145
> R. Molina Klevens, iDDS, MPH. Izifo ezithathelwanayo ze-Methicillin-Resistant Staphylococcus aureus e-United States. I-JAMA. 2007; 298: 1763-1771.