Klebsiella pneumoniae - chii? Utachiona Klebsiella pneumoniae: Description

Klebsiella pneumoniae - chii? Zviri munhu Utachiona anogona kukonzera dzakakomba anogumbura chirwere ari kufema, zvomudumbu uye Urinary nehurongwa. Muzviitiko zvakadaro zvinoda kungwarira kurapwa uye kungwarira kurapwa. Zvino akaita nosocomial noutachiona husingakwanisi kurapa nokuda chinokosha nhamba mhando nayo utachiona.

zvoutachiona ehupfumi

Vanhuwo murume zvakaoma kufungidzira kuti akaita Klebsiella pneumoniae, chii. Morphologically chinhu chiduku mira shamhu iyo inogona riri vaviri singly uye mumapoka. Uyu giremu negative Utachiona iri, kana akasvibiswa hematoxylin-eosin, zvinova Pink (inoratidza pamberi capsules).

Iye anoda ruchikonzera munzvimbo dzine kuwana reokisijeni, asi pamberi pake, havazotadzi tsika ehupfumi ayo. Murabhoritari, Utachiona Klebsiella pneumoniae ari kukura pamusoro hwakasimba uye mvura inotonhorera venhau, pova akanaka dzaitongwa vachena chena. It vakagamuchira zita raro nezita akawana - the pathologist Edwin Klebs.

mhando Klebsiella

Microbiologists kubva yokutanga nguva microorganism akataura mhando Klebsiella nhanhatu:

- Klebsiella pneumoniae (Friedlander bacillus).
- Klebsiella oxytoca.
- Klebsiella rhinoscleromatis (bacillus pamusoro Frisch - Volkovich).
- Klebsiella ozaenae (Wand Abel - Lavenberga).
- Klebsiella terrigena.
- Klebsiella planticola.

Muvanhu, inonyanya kukonzera chirwere maviri wokutanga, asi pamwe vasanyanye kutapata, uye dzimwe mhando ave pathogenic. In vanhu utano dumbu ndiyewo Klebsiella pneumoniae, ayo mwero haafaniri kupfuudza 105 utachiona por 1 giremu kuti chyme. Uyezve, tusingaoneki aya nguva dzose aripo paganda uye mucous Kamudzira pakati ari Árbol muti. Vanokwanisa kuramba ehupfumi avo zvigadzirwa zvokudya nemvura uye ivhu kwenguva refu, saka kuti utachiona kwakaitika.

manyuko chirwere

Pakati vamwe vakawanda anthroponotic noutachiona kunogona kunzi, uye Klebsiella pneumoniae. Chii? Izvi zvinoreva kuti kana zvinogona kukonzera zvirwere vanhu vanorwara kana vatakuri utachiona kuti havana zviratidzo. Inside nhengo Klebsiella unowana tsvina nezvokudya kana maoko akasviba. Kana utachiona rinowisirwa bronchopulmonary hurongwa, kupararira mabhakitiriya vachatitaka zvinganaka kuenda neherikoputa mumate (kuburikidza vangakosora uye sneezing). vanhu vose vanogona kuenda Klebsiella, asi vana vaduku, vakwegura uye vanhu vane immunodeficiency muboka yakakwirira ngozi, sezvo kubereka unosungira intestinal microflora endogenously asiri kudzorwa.

Kamwe mumuviri, kuti utachiona unobereka endotoxin iyo anosunungurwa chete pashure pokufa mutakuri microbe. Kunoita nefivha uye kudhaka. Kune mamwe maviri exotoxin: enterotoxin uye membranotoksin. Origin kunokanganisa diki ura mucosa, uye yechipiri rinoparadza nomugumisiro erythrocytes, zvichikonzera kupererwa neropa.

chibayo

Nemabayo kunokonzerwa, iwe wafungidzira izvozvo, kuti Klebsiella pneumoniae. A maitiro kuchiitwa ichi mhando kuzvimba ndiyo nezve muzvizhinji kuti foci duku kuzvimba, izvo zvinogona batanidza nemumwe mhiri chiedza pamusoro. In varwere nefivha (kusvika madhigirii-matatu namapfumbamwe), simba, lethargy, vangadikitira. Pakutanga hosha yacho chikosoro pakaoma, asi pakati kuwana dzanyorova, ane admixture pamusoro madzihwa uye pus vangava mitsetse neropa. Hwokuratidza kupfupika mweya uye, mune Muzviitiko zvakaipisisa - kufema kukundikana uye pulmonary edema.

On mumuviri kuongororwa, kurutivi kuzvimba anzwike crackles uye palpation - kupfupikisa percussion kurira. On bhokisi radiograph uye lateral fungidziro zvatichiri inooneka mumvuri, zvinowanzoita kuti uwandu hwezvinhu zvose zvabatanidzwa..

Kana maperembudzi chirwere munguva uye kupa yakarurama kurapwa, zviri zvikuru zvichida kuti kushoma anogona kwaizombomiswa pakutanga chaipo, asati akanga nguva kupararira pamusoro pepasi mumapapu. Asi kune sizvo kurapwa kana kunonoka kurapwa muchipatara, Ungangove, murwere achava mufananidzo sepsis (generalized kuzvimba), uye pakadai Mungozi zvazvingava chaizvo.

The kukundwa of zvomudumbu hurongwa

chirwere ichi chiri kukonzerwa Klebsiella pneumoniae. Zvinosuwisa, zvinonzi "Masked" nokuda gastroenterological zvirwere, zvichiita kuti zviome kuziva uye kurapa. Murwere accesses munhu gastroenterologist pamwe zvichemo kurwadziwa mudumbu uye guvhu, chirungurira, kuda kurutsa, ungaderedza kudya, asi EGD (fibrogastroduodenoscopy) inoratidza kuipa kana zvishoma zvomoto gastric mucosa. Haikwanise kubata akakwidza chiremba iri pfungwa Klebsiella. Asi, iye achava kuisa gastritis uye taurira zvakakodzera kurapwa.

Asi vazhinji Klebsiella zvose kunooneka pachayo iri zvomudumbu turakiti (nemudumbu) sezvo enteritis kana enterocolitis. Murwere anoenda kutapuriranwa kuchipatara kunyunyuta nefivhiri, simba, kuda kurutsa, abdominal cramping uye chetsoka kutyora (kunonyengedza manyoka neropa uye madzihwa odorous). Izvi agare maviri nemashanu pamazuva.

Zvirwere genitourinary hurongwa

Kakawanda Klebsiella pneumoniae ari urogenital ino inoratidza pacharo muchimiro pyelonephritis, cystitis uye prostatitis. Zvichienderana padanho kukuvara, varwere chokunyunyuta pamusoro kurwadziwa lumbar nharaunda, zvakaomera vanhurume uye erectile chaitika.

Kana rokuzvidzivirira iri kushanda zvakanaka, chirwere chacho chakasimba, uye kurapwa munhu anonaya zvachose. Asi kune vasingakoshi muviri dzokuzvidzivirira (vakwegura kana vana, immunodeficiency), chirwere anotora chirwere kana idzokororo kosi.

yematambudziko

Munguva zvakakomba klebsiellezov dziripowo yematambudziko akadaro:

- pulmonary edema;
- ITSH (hunokachidza kuvhunduka);
- Hemorrhagic chirwere;
- mumatenhere muuropi.

Ichi chirwere, mumwe izvo zvinogona kuguma zvokufa. Kana ikashandiswa, mukana rufu kunowedzera. Pashure yapfuura chirwere murwere vakaumba chairo zvinopfuura kutapata, kureva zvakafanana parlance, pashure penguva, munhu anogona kurwara zvakare.

Zvinoitwa chirwere muvana uye vakadzi vane pamuviri

Klebsiella pneumoniae panguva pamuviri - kutanga kunyanya isingawanzowanikwi. Muviri kusangana mutoro kaviri, akaderedza kutapata, uye kungawedzera mukana wokuti uite unosungira microflora inowedzera. Sezvo nzvimbo yaigona, kutora kana kwete kutora nemishonga, chiremba anosarudza. All zvinoenderana pakureba gestation, kuti uwandu Klebsiella pneumoniae ari zodzera kubva dzokubereka turakiti uye padanho masero eropa machena. The dose chiri kugadziridzwa nomumwe. Hapana nyaya hakufaniri kubatwa pamusha.

Mamiriro acho ezvinhu kazhinji kana mubvunzo anepamuviri haasi chiremba, uye shamwari dzake pamusoro utachiona Klebsiella pneumoniae. Chii, uye iye haagoni edza. Zvino mishonga zvikanganiso hakudzivisiki, uyezve, zvinogona kukuvadza mwana.

Nokuda simba kutapata vacheche nevana vadiki kazhinji kutambura kubva mikana microflora. Klebsiella pneumoniae mu vacheche kunokonzera yanyanya kudhaka, kuti kungotaurawo kuti chokutsva uye sepsis. Kakawanda iri dysbiosis pamwe chaiwo zviratidzo (belching, kuramba mazamu, uremu uye kutyora cheya).

Diagnostics

Akaora rokuongorora chii akakonzera chirwere rakanga Klebsiella pneumoniae, ndizvo zvakaoma, sezvo pasina dzakananga zviratidzo zvinoratidza izvozvo. Naizvozvo, chirwere chinonzi syndromic uye ipapo akasimbisa bacteriologically. Sezvo zvinhu yakakodzera ropa, weti, sputum, cerebrospinal fluid bile uye sectional zvinhu.

Klebsiella pneumoniae mu weti iri dzakaonekwa netsika kana nemaziso kuzviongorora. To ichi zvinhu zviri akaafukidza pamusoro inotonhorera svikiro kana kwakadonha pana girazi nemasiraidhi uye aongororwe maikorosikopu.

Chete nzira inogona kuwanika mutsvina yadzo pakati Klebsiella pneumoniae, asi chete zvakabudiswa mashoko siyanei. For Qualitative awatsvakurudza kuti agoiswa murabhoritari mukati hafu yeawa mushure fenzi.

Pashure pevhiki mbiri kubva pakatanga chirwere, unogona kutumira ropa serology. Kunoita kuti kufungidzira kwokuomerwa kwacho uye zvirwere.

mabatiro

Nzira kurapwa chiremba anosarudza mumwe chaicho nyaya. Izvi zvinoenderana chimiro chirwere, ayo nekuomarara uye zvechadenga murwere. Kakawanda, varwere vanogamuchira outpatient kurapwa.

First vakagadzwa chaiwo bacteriophages. Vanofanira kutorwa katatu pazuva pamberi kudya. Uyewo zvinogoneka musimboti nomumukanwa kwokubatsira mushonga mumuviri pachishandiswa enema. Yawapiwa ingabva mashanu gumi mazuva. Inotevera pavaipfuura probiotics vanosungirwa kudzorera chakaipa intestinal kasvisto. Vanofanira kumwa mazuva anenge gumi, uye zvinganaka vhiki mbiri kana nhatu.

Inorwisa mabhakitiriya ndivo vakasarudzwa cephalosporins uye fluoroquinolones ndivo rwechitatu norwechina Zera, aminoglycosides uye tetracyclines.

Muchipatara, varwere vari muchipatara zvinotevera zvairatidza: ane kusembura zviratidzo, nefivha, septicemia. Hazvo kuva symptomatic uye pathogenetic kurapa zvainanga kugadzirisa zviratidzo chirwere uye kuti aivabatsira murwere ezvinhu.

Nonspecific prophylaxis nokuti klebsiellezov haana kuitwa, sezvo pasina mushonga. Saka, zvose anoburuka kuti utano dzidzo yevana nevakuru, uye nokuomesa pamusoro nenguva uye inobudirira kurapwa kwezvirwere zvinotapuriranwa.