I-Staph yindlela encinci yokuthetha nge- Staphylococcus aureus ibhaktheriya, eyona nto ibangela izifo zonyango.
Iimpawu zoThulo lweStaph
Iimpawu zentsholongwane yesikhumba se-staph zixhomekeka apho isifo sisifo khona. I-staph bacteria inokubangela:
- Amathumba - i-abscess ngaphakathi kwesikhumba. Kwakhona kuthiwa yi-furuncle.
- I-cellulitis - isifo sofuba esikhoyo esingenza ulusu lubomvu, lubuhlungu kwaye lushushu
- I-folliculitis - usulelo lwezinwele zezinwele
- I-Impetigo- ibangela i-blisters (i-bullous impetigo) okanye iilesi ezinobunzima obunemibala ebusweni
- I-Paronychia - intsholongwane yesikhumba seengxowa
Ukongeza kwintsholongwane yesikhumba, i-staph bacteria ingabangela:
- I-Bacteremia - ukusuleleka kwegazi
- Amathumba amancinci - iqoqo le-pus kwindawo ethile ngaphakathi emzimbeni
- Endocarditis - usulelo lweentsimbi zeentliziyo
- Utyhefu lokutya - ngokuqhelekileyo ukuvelisa i- staphylococcus aureus kunye nobisi obuhlaza kunye noshizi kunye nezinye ukutya eziphezulu .
- I-Lymphadenitis - usulelo lwe- lymph gland , olubangela ukuba lube lubomvu, lukhuni, lubuhlungu
- I-Lymphangitis - usulelo lwezitho zelphythi ezidlulayo kwi-lymph glands, ezibangela imifuno ebomvu elukhumbeni
- I-Osteomyelitis - isifo sesifo
- Isifo se-skin scalded - esinokubangela ukuba isikhumba esikhulayo sibheke kwaye siphephe
- I-Septic isifo samathambo - isifo sobambiswano, njengomlenze okanye idolo
- Izitoli - usulelo lweengqungquthela kwi-eyelidi
- Isifo sokutshatyalaliswa kwesifo esiyingozi
I- Staphylococcus aureus bacteria nayo ingaphantsi ibangele ezinye izifo, kuquka ukukhulelwa kwe-pneumonia , izifo zentloko kunye ne-sinusitis.
MRSA
UMasipala we-MRSA ungumfanekiso we-Methicillin-Resistant Staphylococcus aureus , uhlobo lweebhaktheriya eziye zaxhathisa kwii- antibiotics ezininzi, kuquka i-methicillin, i-penicillin, i-amoxicillin kunye ne-cephalosporins.
I-MRSA-engekho i-MUR-SA.
Nangona kubekho ulwabiwo lwezibhedlele, amakhaya angamahlengikazi kunye nezinye izibonelelo zononophelo lwezempilo, izifo ze-MRSA ziqheleke kakhulu kubantwana abasempilweni kunye nabantu abadala kuluntu. Udokotela wakho wezingane uya kukhankanya ukuba usulelo, olunjengekhefu lomlenze, lubangelwa yi-MRSA ukuba aluphuculanga kunye nemithi ye-antibiotics. Kwimeko apho, i-abscess ingadinga ukucinywa okanye umntwana wakho kufuneka aguqulwe kwi-antibiotiki echanekileyo okanye eyahlukileyo ukuphatha intsholongwane.
Ukuxilongwa kweStab Infections
Ukuxilongwa kwezona zininzi zonyango zikhutshwa ngumzekelo weempawu kunye nokuhlolwa kweziphumo zomzimba. Nangona kunjalo, akunakwenzeka ukuba ukwazi ukuba intsholongwane ibangelwa yi-staph bacteria okanye enye ibhaktheriya, njengeqela lama-Beta-hemolytic streptococcus ( Streptococcus pyogenes ). Kwaye kwimeko ezininzi, akukhathazeki, njengoko umlomo wakho umntwana ochaziweyo uya kubaphatha iibhaktheriya.
Ukwenza ukuxilongwa ngokucacileyo kunye nokuqinisekisa ukuba i-staph ibhaktheriya ebangela ukusuleleka, inkcubeko inokwenziwa. Xa ibhaktheriya ichongiwe kwenkcubeko, umzekelo kwizinto ezinokuthintela kwii-antibiotics inokukunceda ukuba uchaze ukuba okanye ingenjalo i-MRSA, i-staph aureus, okanye enye ibhaktheriya.
Unyango lweStab Infections
I-anti-anti-antibiotics ye-Antistaphylococcal yindlela eqhelekileyo yokunyanga kwi-staph infections. Oku kungabandakanya i-cream antibiotic cream (iBactroban, Altabax, njl. Njl.) Kwi-impetigo elula, ukunyanzeliswa okufudumalayo, kunye ne-drainage ye-abscesses, i-antibiotitic yomlomo, okanye i-antibiotic yamagciwane ngenxa yezifo ezinzulu okanye eziqhubekayo.
Ngokuqhelekileyo ukusebenzisa i-antistaphylococcal antibiotics yomlomo iquka i-cephalosporins yokuzalwa yokuqala njenge-Keflex (cephalexin) kunye ne-Duricef (cefadroxil).
Njengoko ukuxhatshazwa kweziza-antibiotics ngoku kuyaqheleka phakathi kweebhafteria ze-staph, eziquka i-MRSA, i-antibiotics yokuqala yomntwana wakho imiselwe ukuba ingasebenzi.
Uninzi lwabantu abafumana i-MRSA ukufumana izifo ezinokuthi banokuthi baphathwe ngamayeza, nangona kunjalo, njenge-clindamycin kunye ne-trimethoprim-sulfamethoxazole (TMP-SMX okanye iBactrim). I-MRSA enganyangekiyo kunye neyinkqubo eninzi yamachiza iyakwazi ukunyangwa esibhedlele kunye ne-anticomotic vancomycin kunye / okanye umjelo wokucoca.
Ngelishwa, ezinye izifo ezithintela i-staph, ingakumbi izifo zonyango zikaMRSA ezingenasifo, zingaba zibulale.
Yintoni Okumele Uyazi NgoStaph noM MRSA
Ezinye izinto ezaziyo malunga neSifo seStaph kunye ne-MRSA ziquka ukuba:
- I- S. aureus ibhaktheriya ihlala ihlala okanye ikolonize isikhumba sabantwana nabantu abadala. Kuqhelekileyo ukuyifumana kwimpumlo, nto leyo eyenza ilulake njengoko abantwana bekhetha impumlo.
- UMasipala we-MRSA uye waxhaphaka. Kucatshangwa ukuba abantu abafika kwi-2% yabantu bakhononiswe ngeibhakteria ze-MRSA.
- Ukukrazula i-staph colonization, ngamanye amaxesha kunokunceda ekuphatheni onke amalungu omndeni nge-mupirocin (iBactroban) i-gel yolusu kabini ngosuku iintsuku ezingama-5-7, wonke umntu athathe ii-Hibiclens ngeveki (i-Antiseptic, i-Antimicrobial Skin Cleanser) onke amanxeba aphezukileyo, kwaye ukhuthaze ukuhlamba izandla.
- Nangona kungenakukhathazeka kumntwanakho, ukuba unobantwana bakho bodla i-abscess ingaba yindlela efanelekileyo yokuphelisa intsholongwane.
- I-Zyvox (linezolid) yintsholongwane emitsha engasetyenziselwa ukuphatha unyango olunzima kunye nezifo eziphathekayo, kuquka ezibangelwa yi-MRSA, kubantwana. Kuye kubiza kakhulu kwaye mhlawumbi kunokunyulwa xa ezinye i-antibiotics ingazange isebenze okanye ii-staph bacteria zaziwa ngokuba zichasene nezinye iziza-antibiotics ezisetyenziswa kakhulu, ezifana neBactrim kunye ne-clindamycin.
- Gcina ukubetha, i-scrapes, kunye ne-rashes ecocekileyo kwaye igubungelwe ukukhusela ukuba bangenwe yi-staph bacteria.
- Khuthaza abantwana ukuba bagwebe ukwabelana ngeelwimi, izixhobo zokudlala, izixhobo zokusebenza zezemidlalo kunye nezinye izinto eziphathekayo esikolweni nakwiklasi yokuprinta , apho ukusasazeka kwezifo zesifo se-staph kubonakala kuqhelekileyo.
Xoxa nodokotela wezilwanyana ukuba ucinga ukuba umntwana wakho unokufumana intsholongwane ye-staph okanye ukuba unomdla nge-MRSA.
> Imithombo:
> Ukuxilongwa kwe-MRSA. Cohen & Powderly: Izifo ezithathelwanayo, i-2nd ed.
> UNicolle L. U-MRSA ofunyanwe ngumphakathi: Isikhokelo seengcali. I-CMAJ 18-JUL-2006; 175 (2): 145
> R. Molina Klevens, iDDS, MPH. Izifo ezithintekayo zeMethicillin-Resistant Staphylococcus aureus eUnited States. JAMA. 2007; 298: 1763-1771.