Burkholderia Cepacia kunye neCystic Fibrosis

Ukusuleleka kwintsholongwane yebhaktile kunokuguqula ukufa xa kungashiywanga

I-Burkholderia cepacia , ibhaktheriya ebizwa ngokuba yiPseudomonas cepacia , iyinto engabonakaliyo kodwa eyingozi kubantu abaphila ne- cystic fibrosis (CF) . Ngoxa usulelo lwamaxesha amaninzi luhlala luphawu olungenasifo, lunokuthi lube lukhulu, kwaye lusenokusongela ubomi.

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Indlela i-Burkholderia Cepacia ibangela ngayo ukuthintela

I-Burkholderia cepacia ( B. cepacia ) liqela leebhaktheriya ezitholakala ngokwemvelo kumhlaba omanzi kunye nezityalo ezonakalisayo.

Kwixesha elidlulileyo, sasiyakholelwa ukuba iintlobo ze- B. cepacia ezifunyenweyo kwimvelo azifani nezo zifumaneka kubantu. Uphando olutshanje luye lwabonakalisa okuchaseneyo, oluqinisekisa ukuba ibhaktheriya isasazeka ngokuqhagamshelana nabantu abanegciwane kunye neendawo ezingcolileyo.

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Ubunzima be-B. Cepacia Infection

Kanye xa i B. cepacia ingena emzimbeni, kukho izinto ezintathu ezenzekayo:

• I- colonizes emiphakeni kodwa ayibangeli mpawu okanye ixesha elide.
• I-colonizes emiphakeni, kubangela ukusuleleka kunye nokuvuvukala okuye kwandipha ngokukhawuleza ukusebenza komphunga.
• Isasazeka (idibanisa) kuwo wonke umzimba obangela i- cepacia syndrome , isigulo esichazwe ngokukhawuleza ngokukhawuleza kwemiphunga. Ukuba ishiywe ingaphendulwa, i-cepacia syndrome ingakhokelela ekufeni kwiiveki.

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Iimpawu zeB. Cepacia

Iimpawu ze- B. cepacia , ukuba zikhona, zifana nezo naziphi na izifo zentsholongwane kwaye zingabandakanywa umkhuhlane, ukukhwehlela, ukudibanisa, ukuphefumula ukuphefumula, kunye nokuphefumula.

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Ukuxilongwa kwe-B. Cepacia

Indlela yodwa yokuxilonga i-B. cepacia kukukhuphela i-sputum (umxube we-mucus kunye ne-saliva ekhunjulwe kwindlela yokuphefumula). Inkcubeko iya kuqinisekisa ukuba i- B. cepacia ikhona kwaye, ukuba kunjalo, yiyiphi intsingiselo okanye ubunzima obujongene nayo.

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Ukuphindaphinda kwe-B. Cepacia Infection

B. i-cepacia ayiqhelekanga. Ngokutsho kweCystic Fibrosis Foundation, iipesenti ezintathu kuphela zabantu abaneCF bavavanywe kakuhle kwiibhaktheriya, kubandakanywa nabanempawu kunye nangaphandle.

Iindaba ezilungileyo kukuba B. i-cepacia iyenzeka kangangoko kunezinye izinto ezichaphazela abantu abaneCF. Iindaba ezimbi kukuba, xa kwenzeka, kunokuba nzima ukunyanga.

B. i-cepacia ayifanelekanga ithintela abantu abanezixhobo zokuzivikela kumzimba.

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Njani B. Cepacia Isasazeka

Nangona kunokwenzeka ukuba i- cepacia isasazeke ngokuqhagamshelana ngqo kunye nezinto (iifomites), ukuqhagamshelana nomntu kummandla oqhelekileyo wokudluliselwa.

Ukuba isetyenziswe ngokungaqhelekanga, i- B. cepacia iyaziwa ukuba iphile kwiinkomfa, ii-countertops, izixhobo, kunye nezinto zokunyamekela abantu kwiiyure ezimbini ukuba iibhaktheriya zomekile kwaye zifike kwiiyure ezingama-24 ukuba zimanzi.

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Ukudlula iB.Cepacia kwabanye

Ukuba unentsholongwane nayiphi na uhlobo lwe- B. cepacia , kufuneka ukhuphe ukudibanisa ngokufutshane nabanye abantu abakhubazekayo. Oku kubandakanya ukwabelana ngamagumbi esibhedlele okanye ukuhlala nabantu abasemngciphekweni okanye abasenayo iCF.

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Ukunyanga i-B. Cepacia Infection

Ukuba unayo i-CF kwaye unentsholongwane ka-B. cepacia , kuya kufuneka ube nokunyamekela ngakumbi malunga nonyango lwakho ( imvume ye-airway , i- bronchodilators , i-mucolytics) nangona ungenayo impawu.

Ukuba kukho iimpawu, izinto ziba nzima kakhulu. B. i-cepacia inqabile kakhulu kwii-antibiotics ezininzi kwaye ifuna ukuba unyango luhlanganyelwe ukuphelisa ibhaktheriya.

Nangona uphando lwangoku lubonisa ukuba iingxaki ezinokuxhatshazwa kweziyobisi zingaphendula kwisisombululo esibizwa ngokuba yi-nanoemulsion (esisebenzisa i-molecule yamachiza e-submicron-size), le ngcamango isesigaba sokuqala sophando.

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Indlela Yokunciphisa Umngcipheko Wakho we-B. Cepacia

Ukuba unayo i-CF, unokunciphisa umngcipheko wakho wosulelo ngokukhusela nayiphi na into enokungcola.

Njengomthetho, musa ukwabelana nokutya, ukusela, izinto, iimaski, i-nebulizers, okanye izinto zokunyamekela kwabanye. Hlala ubuncinane ubunzima beenyawo ezintathu ukusuka kwabanye kunye neCF ukuba zikhwehlela, kwaye rhoqo uhlambuluke ukuba uhlambulukile xa uthintela kwiindawo ezimanzi okanye ezinokungcola.

> Umthombo:

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