Kwiphepha lesisu, umlomo womlomo kunye nolusu loluntu, kukho i-microflora ye-bhakteria, enenqwaba yeentlobo ze-microbes. Enye yezilwanyana ezincinci ze-pathogenic zityalo eziqhelekileyo ezincinci i-Klebsiella pneumonia (Klebsiella pneumoniae). Naphezu kwegama, le proteobacteria ayibangeli nje izifo zokuphefumula eziyingozi, kodwa nezinye iinkqubo zokuvuvukala.
Klebsiella pneumonia ihanjiswa njani?
Umthombo wentsholongwane ngumntu omzimba wakhe oqhubekayo kunye nosulelo lwe-klebsiellosis. Usulelo luvela ngeendlela ezininzi:
- ukungathobeli imilinganiselo yokuhlambulula umntu;
- imifuno engcolileyo, iziqhamo;
- ngexesha lokukhwehlela nokukrazula.
Izizathu zokuvelisa iKlebsiella pneumonia
Abantu abanokukhubazeka kokusebenza kwamajoni omzimba banako ukufumana isifo. Zingabangelwa ngu:
- ukukhulelwa komzimba;
- isifo sikashukela;
- ukunyanzeliswa kwezifo ezingapheliyo;
- pathologies ye hematopoiesis;
- izidumbu zeemvelo;
- ukuxilongwa kwe-immunodeficiency;
- utshintsho kwi-intestinal kunye ne-microflora.
Ukongezelela, usulelo luya kwenzeka emva kokutshintshwa kwezitho kunye nezicubu ngenxa yempendulo ye-immune engapheliyo.
Iimpawu zeKlebsiella pneumonia progression
Ngexesha lomjikelo wobomi uchaza ibhakteria ukukhulula iintlobo ezintathu zezinto ezinobuthi:
- membronotoxin (inomsebenzi we-hemolytic, inonakalisa amaseli aphilileyo);
- i-endotoxin (eyenziwe ekupheleni kobomi be-microorganism, ngexesha lokuqhekeka);
- i-enterotoxin ephazamisayo (ichaphazela i-epithelium engena emathunjini emathumbu emathumbu, ivuselela ukuzaliswa kwe-lumen yayo kunye ne-liquid).
Ngenxa yoko, ukukhubazeka okubangelwa yi-Klebsiella bneumonia bactrium inezinto ezahlukeneyo zempawu zekliniki kuye kuxhomekeke kwinkqubo yesifo.
Kwimeko ye-Klebsiella pneumonia, ezi zilandelayo zibonakaliswa:
- umkhuhlane, iqondo lokushisa liphakama ukuya kuma-degrees angama-39;
- ukukhupha;
- utywala;
- ukuphosa;
- ukunyaniseka kunye nobuthathaka;
- ukuphefumula okufutshane ;
- ukuphefumula okubi;
- owomileyo (kwizigaba zokuqala) kunye nokukhwehlela okumanzi, kunye nokukhutshwa kwe-sputum enamaqatha, enezigalelo zegazi.
Ngethuba lokuxilongwa, ukuvutha emiphakeni, ukunciphisa ubunzima bokuzaliswa kwabo, ukuvakala kwengxolo ngexesha lokugubha.
Ngokuqhelekileyo i-Klebsiella pneumonia itholakala kumchamo, kubangela iinkqubo ezinobunzima ezifana ne-cystitis, i-pyelonephritis kwifom ekhangayo kwaye engapheliyo. Kule meko, iimpawu azifani nezilonda zezinye iibhaktheriya:
- intlungu okanye ukutshisa ekupheleni kokucoca;
- ukwanda kwisebusi lomzimba ukucoca;
- ubunzima ehlangothini, kufuphi neentso nezinqeni;
- unxanwa.
Xa usuleleko lwephepha eliphezulu lokuphefumula, kukho imiqondiso enjalo:
- i-granulomas kwiimbumba ezinobumba zempumlo kunye ne-nasopharynx;
- ukuxhatshazwa kwesono;
- ukufihla okubhaliweyo kwempumlo kunye nephunga elimnandi;
- ukubunjwa kwento ngaphakathi;
- ukushisa okuphezulu, malunga nama-38 degrees;
- i-atrophy ye-membrane ye-mucous ye-trachea kunye neempumlo.
Ukutshatyalaliswa kwendlela yokugaya ibonakaliswe ngu:
- intlungu kwindawo yesisu;
- isicefe
- ukuguquka;
- ukuphazamiseka kokutya;
- buthathaka;
- ukuhlaselwa kwamathumbu;
- isisitye esilahlayo esingenakunqwenelekayo (i-mucus, pus okanye igazi).
Unyango lwentsholongwane yebhaktheriya iKlebsiella pneumonia
Kwonyango, iintlobo ezi-3 zamachiza zisetyenziswa:
- i-antibiotic agents;
- i-probiotics (i-Enterol) ngenxa yomxholo wolu hlobo olukhethekileyo lwefungulu elinomsebenzi we-antimicrobial ngokubhekiselele kwibhaktri ephantsi kwengqalelo;
- i-bacteriophage.
Unyango oluphambili lwe-Klebsiella unyango lwe-pneumonia nge-antibiotic, ngakumbi:
- aminoglycosides;
- i-cephalosporins (izizukulwana ezindala);
- i-penicillin yesistim;
- tetracyclines.