Ukuhamba okulula nje njengokuhlamba izandla kunganciphisa ingozi
I-bacaphia staph ( iStaphylococcus aureus) , ngokuqhelekileyo ihlala ekhumbeni kwaye ngezinye izihlandlo. Yisona sizathu esivakalayo sonyango kunye nezifo ezithintekayo zezicubu kumazwe amaninzi ehlabathini. Kukho amaninzi amanqanaba e-S. aureus ehlabathini namhlanje, kodwa uguquko olubalulekileyo luyi-Staphylococcus aureus engamelana ne-Methicillin ( MRSA ).
UMasipala we-MRSA akabulali ngama-antibiotic aqhelekileyo aphelisa i-staph, kodwa oogqirha basabonelela unyango lwe-strain.
Fumana iinyani kwiimpawu kunye neempawu ze-staph nezifo kunye nokukhetha ukuxilongwa kunye nonyango malunga nokuhlaziywa.
Sibanzi
I-aureus ibangela izifo zengqondo ezifana ne- folliculitis , i- furuncles , i- carbuncle kunye ne- cellulitis . Ngokuqhelekileyo ezi zifo zonyango ziphathwa ngeqela lamayeza okulwa ne-anti-antibiotics, kodwa ezi antibiotics azibulale i-MRSA. Imizekelo ye-β-lactam antibiotics iquka:
- I-penicillins efana ne-benzathine penicillin, nafcillin, ne-dicloxacillin
- Cephalosporins ezifana ne-cephalexin, i-cefuroxime kunye ne-ceftriaxone
- I-monobactam efana ne-aztreonam
- I-Carbapenems njenge-imipenem
I-MRSA ivela phi?
S. aureus, njengamabhaktheriya amaninzi, anokukwazi ukutshintsha ukuze uphile. Njengoko ibhaktheriya iye yavezwa kwii-antibiotics, kukho utshintsho oluncinane kwi-DNA yeebhaktheriya ezivumela ukuba zilungele kwaye zisinde. Ezinye iintlobo zeebhaktheriya ezifanayo zikhula zizinto ezihlukeneyo kunye neendawo ezihlukileyo.
UMasipala we-MRSA ulandelwe emva kohlobo lwe-1950 olubizwa ngokuba yi-phage uhlobo 80/81 elaziwa ngokuba lunako ukudala izifo ezinzulu.
Iintlobo
UMasipala we-MRSA uye wahlula kwiintlobo ezimbini ezahlukeneyo:
- I-CA-MRSA: I-MRSA yoluntu
- I-HA-MRSA: Isibhedlele-esiyi-MRSA
Ngokubanzi i-HA-MRSA ibaluleke ngakumbi kwiintlobo ezimbini.
Nangona kunjalo, kunzima ukuphawula iinkcukacha malunga nokungafani phakathi kwezi zifo ngenxa yokuba kukho iinkcazelo ezahlukeneyo zeentlobo. Kwakhona, ngenxa yobume bokushatyiswa kwebhaktheriya, iintlobo eziphantsi zitshintsha.
Ukuxilongwa
Indlela echanekileyo yokufumanisa ukuba isifo sokungenwa kwe-MRSA senza inkcubeko yebhaktheriya kwi-pus kwilonda elikhulelwe. Ngamanye amaxesha ukuhlalutya umkhuhlane ovela ngaphakathi kwempumlo kwenziwa ukuba kuqinisekiswe ukuba umntu ungumphathiswa weebhaktheriya.
Unyango
Ngokwezinye izifo zonyango elincinci, yodwa unyango olufunekayo kuphela ukucima i-pus. Oku kubizwa ngokuba ngu- I & D, okanye ukuchaneka kunye nomjelo . Umjelo usetyenziswa kwakhona kwizifo ezinzulu kunye ne-antibiotics ezisetyenziselwa ukubulala ibhaktheriya. Kukho amayeza okuphatha i-MRSA, kodwa ukumelana nezinye zezi antibiotics ziqala ukuphuhlisa kwezinye iindawo. Ngamanye amaxesha udibaniso lwee-antibiotics lisetyenziselwa ukuthintela ukunganyangeki kokuqhubeka. Ii-antibiotics ezisetyenziswa ngokuqhelekileyo ziquka:
- i-trimethoprim-sulfamethoxazole (Septra okanye iBactrim)
- clindamycin
- linezolid
- tetracycline
- vancomycin
Thintelo
Amanyathelo okuhlambulula umntu ayingundoqo ekukhuseleni ukusuleleka kwe-MRSA. Kukho iziganeko ezinobungozi bokuphuhlisa ii-MRSA kunye nokwazi ukuba zezi zinto zinokukunceda ukuba ugweme ezo meko.
Izikhokelo ezilandelayo ezilandelayo ziquka:
- Isikhumba sitshisa iilonda
- Ungathinti amanxeba omnye umntu
- Musa ukwabelana ngezinto eziphathekayo njengethupha kunye neerandi
- Izandla ezihlambulukileyo zisetyenziselwa ukusebenzisa isepha ye-antibacterial okanye i-gels based alcohol
Imithombo:
Gould, IM. "I-Antibiotics, isikhumba kunye nokutheleleka kwezifo zesisu kunye nesifo se-methicillin esinganyangekiyo se-Staphylococcus aureus: isizathu kunye nemiphumo." Int J Antimicrob Agents. I-Suppl 1 (2009): S8-11.
Kil, EH et al. "I-Staphylococcus aureus engamelana ne-Methicillin: ukuhlaziywa kwidermatologist, Icandelo 2: I-Pathogenesis kunye nokubonakaliswa kwemibala." I-Cutis. 81 (2008): 247-54.
Miller, LG, kunye no-SL Kaplan. "I-Staphylococcus aureus: i-pathogen yoluntu." Iikliniki zeZifo eziThatshazelayo zaseMntla Melika. 23 (2009): 35-52.